colonoscopy
Colonoscopy: Rectal Polyp EMR - Large Sessile...
Rectal polyp: Large sessile polyp Injection: 3.5 ml Epinephrine 1:10,000 and 30 ml of saline with a Methylene Blue Snare: 20 mm stiff snare Endocut Q 3-1-5 Coagulation grasper to cauterize vessels Clip...
Colonoscopy: Sigmoid colon pedunculated polyp...
Video showing a resection of pedunculated polyp of sigmoid colon. As it is shown, water immersion helps in placing a snare around large pedunculated polyps, even when the polyp head was large.
Colonoscopy: Subtle polyp - transverse colon
Examining the wall closely helps to identify subtle flat lesions. It is important to resect them completely. Among various techniques lift and cut technique assures complete resection.
Colonoscopy: Subtle Polyp - Descending Colon
As it's shown on this clip, bleeding after cold biopsy polypectomy interferes with checking completeness of resection. It's vital to have patience to check the site and confirm complete excision
Colonoscopy: Subtle polyp - Hepatic Flexure
A video showing subtle polyp in the hepatic flexure fo the colon. It is mportant to go back to check around bends to detect subtle lesions and take a photo after removal of even small polyps to document...
Colonoscopy: Subtle Polyp - Cecum
It is important to take time and scan the walls of the colon. Pulling the endoscope straight out of the center of lumen may not be good enough as subtle flat lesions may be out of focus and can be missed.
Colonoscopy: Cecum - Large EMR for 2 hours
An EMR of a large cecal polyp followed by hot biopsy avulsion and APC.
Colonoscopy: Rectosigmoid colon underwater EMR
Clip presented above, shows an underwater EMR of tubular adenoma localized in rectosigmoid colon.
Colonoscopy: Rectosigmoid colon polyp resection
The following clip presents a resection of rectosigmoid colon polyp. Pathology revealed Tubulovillous adenoma with high grade dysplasia.
Colonoscopy: Submucosal Injection - Tap-tap-tap...
A short clip presenting the technique of submucosal injection
Colonoscopy: IC valve EMR Clip Closure
A resection of a polyp located in IC valve. The resection was followed by an APC and clip closure.
Colonoscopy: IC Valve 50% circumference polyp...
An EMR of a polyp which involved about 50% circumference of an IC valve. The resection was followed by an APC to prevent the recurrence of the lesion.
Colonoscopy: Sigmoid Colon - Large Pedunculated...
Elderly patient was referred for endoscopic resection after two prior attempts to resect. The colon is narrow and ridden with large mouthed diverticulosis. After injection of epinephrine 1:10,000 5 cc,...
Colonoscopy: Transverse colon flat lesion - difficult...
A case of flat lesion in transverse colon. The resection was difficult due to two prior attempts of resection which made the lesion tethered
Colonoscopy: Sigmoid colon cancer
The following video presents a colonoscopy in middle aged patient. During colonoscopy multiple biopsies were taken. Diagnosis: adenocarcinoma.
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