colon

Adenocarcinoma FAP ascending colon bleeding cancer cecum colectomy colonoscopy diverticulum emr endoscopic mucosal resection endoscopy hemicolectomy laparoscopy lesion open hemicolectomy perforation peritonitis polyp polypectomy rectum right hemicolectomy sigmoid transverse colon ulcer
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Huge Mass Of The Descending Colon (17 of 25)

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This video clips shows resection of the base of the polyp and part of pedicle.

Huge Mass Of The Descending Colon (16 of 25)

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In this fragment was used coagulation instead of endocut so the smoke can be seen.

Huge Mass Of The Descending Colon (15 of 25)

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More Slices Remove a larger polyp en bloc to facilitate histologic analysis. Large sessile polyps may require piecemeal resection in 1- to 2-cm segments, although if submucosal saline injection is...

Huge Mass Of The Descending Colon (13 of 25)

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It follows with the cut the mass in fragments and still use the endocut. Large sessile polyps may require piecemeal resection in 1- to 2-cm segments, although if submucosal saline injection is employed,...

Huge Mass Of The Descending Colon (12 of 25)

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Resected using the piecemeal technique Because of the large size of this mass the piecemeal technique was used. We use a 50 mm snare that was not enough to fit in this large mass Most of the fragments...

Huge Mass Of The Descending Colon (11 of 25)

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In total there were three endoloops placed partially.

Huge Mass Of The Descending Colon (10 of 25)

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Polyps greater than a third of the luminal circumference, those crossing two haustral folds and those involving the base of the appendix or ileo-caecal valve are often best referred for segmental resection...

Huge Mass Of The Descending Colon (9 of 25)

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We decided to place strangling some fragments of the mass.

Huge Mass Of The Descending Colon (8 of 25)

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It is important to remember that most polyps identified at colonoscopy will never cause the patient harm. In most cases the adenoma-carcinoma sequence progresses slowly. The endoscopist should therefore...

Huge Mass Of The Descending Colon (7 of 25)

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Endoloop-assisted polypectomy for large pedunculated colorectal polyp. Use the most large but the mass was so large that they could not be placed as we had hoped. The use of an endoloop may minimize...

Huge Mass Of The Descending Colon (6 of 25)

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We used argon plasma coagulation to solve this bleeding.

Huge Mass Of The Descending Colon (5 of 25)

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The pedicle was rather wide, but after the hemostastic therapy with adrenaline injection, had been a annoying little bleeding in the site of the injection.

Huge Mass Of The Descending Colon (4 of 25)

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In order to perform hemostasis a solution of adrenaline 1 / 10,000 in a 50% dextrose was inyected, note the color change after this hemostatic maneuver. The intent of the injection is to instill saline...

Huge Mass Of The Descending Colon (3 of 25)

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A week after a follow up endoscopy was performed after the biopsies were confirmed being a tubulous-villous adenoma.

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