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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: 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
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