descendens
Huge Mass Of The Descending Colon (23 of 25)
Final status of endoscopic resection Endoscopic polypectomy of large polyps is safe and can completely replace surgical treatment. The two major complications are bleeding and perforation, with an...
Huge Mass Of The Descending Colon (22 of 25)
Recover some pieces to be sent to pathology. Small polyps are readily retrieved through the suction/biopsy channel of the endoscope and are collected either in gauze or mesh between the suction port...
Huge Mass Of The Descending Colon (21 of 25)
Polyp Retrieval Begin to remove the fragment with this basket Histological examination of the resected specimens is the only reliable way to classify polyps and exclude malignancy and is therefore...
Huge Mass Of The Descending Colon (20 of 25)
With a smaller polypectomy snare it being coagulates the base.
Huge Mass Of The Descending Colon (19 of 25)
Although some polyps will require surgical removal, most can be removed by an experienced endoscopist. Familiarity with endoscopic hemostasis techniques is an important prerequisite for attempting...
Huge Mass Of The Descending Colon (18 of 25)
In this image and the video clip shows that we have almost completed the procedure but there is a small piece of the polyp in which the polypectomy snare was too big and there was a need for a smaller...
Huge Mass Of The Descending Colon (17 of 25)
This video clips shows resection of the base of the polyp and part of pedicle.
Huge Mass Of The Descending Colon (16 of 25)
In this fragment was used coagulation instead of endocut so the smoke can be seen.
Huge Mass Of The Descending Colon (15 of 25)
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)
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)
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 (10 of 25)
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)
We decided to place strangling some fragments of the mass.
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