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Endoscopic Resection of Giant Tubulo-Villous...

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Final status of endoscopic resection Although some polyps will require surgical removal, most can be removed by an experienced endoscopist. Familiarity with endoscopic hemostasis techniques is an...

Endoscopic Resection of Giant Tubulo-Villous...

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Argon plasma coagulation of sessile polyp base after resection. Cautery is applied with argon plasma coagulator of micro remnants and the same time hemostasis.

Endoscopic Resection of Giant Tubulo-Villous...

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Status after piecemeal excision In this image and video clip shows the status of endoscopic resection of this tumor: giant tubulo-villous of the rectum.

Endoscopic Resection of Giant Tubulo-Villous...

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The fragment was placed in a container of formalin.

Endoscopic Resection of Giant Tubulo-Villous...

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In this image and the video clip show almost the tumor has been resected.

Endoscopic Resection of Giant Tubulo-Villous...

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We continue with the polypectomy of large fragments, retroflexed maneuver.

Endoscopic Resection of Giant Tubulo-Villous...

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Continue excising pieces of this giant Tubulo-Villous adenoma in the dentate line.

Endoscopic Resection of Giant Tubulo-Villous...

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Some fragments are attached to the dentate line

Endoscopic Resection of Giant Tubulo-Villous...

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More remaining are being resected with the loop diathermy.

Endoscopic Resection of Giant Tubulo-Villous...

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With the diathermy loop excising several remaining Retroflexion is a useful adjunctive procedure for the removal of some colon polyps proximal to the rectum that are difficult to access endoscopically....

Endoscopic Resection of Giant Tubulo-Villous...

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To stop this bleeding used the argon plasma, stopping the bleeding.

Endoscopic Resection of Giant Tubulo-Villous...

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Active bleeding is observed It has been well established that there is a greater risk of post polypectomy bleeding with larger polyps, ranging from 2% to 24%. Therefore, the endoscopist should be...

Endoscopic Resection of Giant Tubulo-Villous...

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Then remove another piece of large size

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