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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: 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 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:...
Colonoscopy: Subtle Flat Lesions
Multiple learning points: 1. Short straight scope: Helps you to rotate the scope in the ascending colon easily and bring the lesion to 6 or 9 ' O clock as shown here. 2. Take time to examine: Look for...
Colonoscopy: Ascending Colon EMR - Prior Colon...
Patient: Sigmoid colectomy for colon cancer in the past Lesion: Flat lesion - SSA Location: Ascending colon - difficult to access lesion; not easy to find out and the endoscope kept slipping back. Injection:...
Colonoscopy: Transverse Colon EMR - SSA
Location: Transverse colon Lesion: Flat lesion with scarring Preparation: Suboptimal that was cleared with large lavage. Injection: 15 ml of saline with Methylene Blue Lift: Satisfactory Snare: 15 mm...
Colonoscopy: Ascending Colon LST-NG -
Lesion: LST-NG Injection: 18 ml saline + Methylene Blue Snare: 15 mm Cut: Endocut Q 3-1-3 APC: Forced - 0.8 lts; and 35 W Clip closure: 10 clips EMR time: 44 min
Colonoscopy: Cecal Polyp Deferred Resection
Due to extensive scarring and contracted cecum and pseudopolyps the resection was deferred.
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