colonoscopy
Colonoscopy: Proximal Ascending Colon Flat Lesion...
When a polyp goes from a valley to hill top, inject on the hill top to facilitate resection. If you inject in the valley, the hill top may be out of sight and tough to cut.
Colonoscopy:Ascending Colon Resection after two...
Lesion: Subtle flat lesion (required chromoendoscopy and near focus imaging to define it). Previously resected and then ablated with a BICAP. Location: Proximal ascending colon Cap fitted colonoscope...
Colonoscopy: IC Valve Polyp Resection
Polyp: On the IC valve, without extension into the TI. Optical diagnosis: Adenoma Injection: Saline with Methylene Blue Injection: Good Lift Snare: 15 mm snare Endocut Q - 3-1-4 setting Hemostasis: Soft...
Colonoscopy: Appendicial Polyp - examine to...
How to examine the appendicial polyp - use a cap; use NBI and near focus to define it better.
Colonoscopy: Cecal Polyp EMR
Lesion: Cecal sessile lesion Optical diagnosis: Adenoma Injection: 13 ml saline with Methylene Blue and 3 ml Epi Lift: Satisfactory Snare: 15 mm snare Endocut Q 3-1-3 en-bloc resection Hemostasis: Coagulation...
Colonoscopy: Ascending colon/hepatic flexure...
A colonoscopy of a middle-aged patient. During the procedure, a polyp located in the ascending colon was removed.
Colonoscopy: Ascending Colon/hepatic flexure...
Polyp: Large polyp - sessile and flat components over a fold Optical diagnosis: Adenoma Piecemeal EMR using a combination of Epi, saline with Methylene Blue and 15 and 10 mm snares and Endocut Q 3-1-3...
Colonoscopy: Cecal EMR
Lesion: Flat lesion Injection: Saline + Methylene Blue 5 ml Lift: Good lift Snare: 15 mm snare Endocut Q 3-1-3 APC: 0.8L, 35 W, Forced APC Clip closure: 8 clips
Colonoscopy: Rectum Residual Adenoma with Scar...
Patient: Elderly Lesion: Polypoid lesion in the center of a flat lesion was cut; flat lesion was not cut; referred for surgical resection. Endoscopic resection was successful. Endoscope: Colonoscope...
Colonoscopy: Rectum Large Polyp Resection
Patient: Elderly patient Location: Rectum Lesion: Large sessile lesion Optical diagnosis: Adenoma; no features of cancer Injection: saline with Methylene Blue: 15 ml; Epi: 1:10,000 6 ml Lift: Good submucosal...
Colonoscopy: Rectum Large Polyp Resection
Patient: Elderly patient Location: Rectum Lesion: Large sessile lesion Optical diagnosis: Adenoma; no features of cancer Injection: saline with Methylene Blue: 15 ml; Epi: 1:10,000 6 ml Lift: Good submucosal...
Colonoscopy: Proximal Descending Colon EMR -...
Location: Proximal descending colon Lesion: Sessile and flat lesion Is and IIa combination Injection: Saline with Methylene Blue 25 ml; Epi 1:10,000 4 ml Lift: Good submucosal lift Resection: Snare:...
Colonoscopy: Proximal Descending Colon Piecemeal...
Location: Proximal descending colon Lesion: Sessile and flat lesion Is and IIa combination Injection: Saline with Methylene Blue 25 ml; Epi 1:10,000 4 ml Lift: Good submucosal lift Resection: Snare:...
Colonoscopy: IC valve polyp
Location: IC valve Lesion: LST-NG Access: Technically challenging as the scope slips back. Injection: saline with a drop of Methylene Blue - 10 ml Snare: Stiff snare 10 mm Cut: Endocut Q 3-1-3 Bleeding:...
Colonoscopy: Ascending Colon LST-NG lesion EMR
Patient: Elderly patient Lesion: LST-NG Location: Ascending colon Comment on lesion: Lesion has two segments (like leaves) that need to be kept in mind when planning a cut; cut each leaf separately. Injection:...
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