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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

The fragment was placed in a container of formalin.

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

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

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

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

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

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

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Some fragments are attached to the dentate line

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

More remaining are being resected with the loop diathermy.

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

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....

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

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

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

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...

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

More image and video clip observing the fragments of infiltrative appearance.

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

There are many fragments of the neoplasia of villous appearance. Colorectal polypoid lesions have a risk for cancer development. Because of their malignancy potential and indistinguishable features...

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Piecemeal Resection The rope with the loop diathermy, the fragment of large size prolapses outside of the anus. And there the polypectomy is performed.

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

As at first the plan was to remove the tumor that appeared to be small, we decided to practice polypectomy in fragments at this time we had no reported the biopsies by pathology. Sessile polyps usually...

views: 685 comments: 0

Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

A Giant Villous Adenoma: Mimicking Rectal Malignancy Another image of the irregular mass Usually, tubulu- villous adenomas are asymptomatic although they may cause rectal bleeding like malignant...

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

A Giant Tubulo-Villous Adenoma: Mimicking Rectal Malignancy. By practicing retroflexion in the rectum the mass is observed of a large size and appears to be adenocarcinoma. At this time we did not...

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

The prolapsed mass seen at the colonoscopy Benign or malignant? Once a lesion is recognized and its size determined, the decision that must be made is whether or not the polyp is benign or malignant....

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

This is the case of a 57 year-old lady, who had been suffering of rectal bleeding during six months, patient only was under ointments and suppositories treatment, she was referred to our endoscopic...

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Endoscopic view of Rectal Stalked Polyp...

Gastroenterology Atlas

Argon plasma coagulators have been introduced to fulgurate large polyp remnants or for hemostasis with very positive results.

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Endoscopic view of Rectal Stalked Polyp...

Gastroenterology Atlas

The image and the video clip show the dormia basket that it used to retrieve the cut polyp.

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Endoscopic view of Rectal Stalked Polyp...

Gastroenterology Atlas

Dormia basket was used to retrieve the cut polyp.

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Endoscopic view of Rectal Stalked Polyp...

Gastroenterology Atlas

The remnants of the pedicle is being cauterized.

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Endoscopic view of Rectal Stalked Polyp...

Gastroenterology Atlas

The snare loop is placed in the pedicle. Endoscopic snare resection using a monopolar diathermic polypectomy snare made of monofilament steel wire.

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Endoscopic view of Rectal Stalked Polyp...

Gastroenterology Atlas

Removal of a Pedunculated Polyp. Endoscopic polypectomy with diathermic loop. Initially, gastrointestinal endoscopy represented a useful diagnostic tool for digestive tract diseases. Yet, ever since...

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Endoscopic view of Rectal Stalked Polyp...

Gastroenterology Atlas

This 41 year-old male who undergone a routine colonoscopy which detected this polyp. The success of colonoscopic polypectomy and surveillance depends on the identification and complete removal of the...

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Endoscopic Appearance of Pedicled Polyp...

Gastroenterology Atlas

Large pedunculated polyps (> 2-3 cm) are often easily removed with standard snare cautery techniques. The difficulty most commonly encountered is when a large polyp has a particularly long stalk, and...

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Endoscopic Appearance of Pedicled Polyp...

Gastroenterology Atlas

The practice of removing polyps at colonoscopy is based on the assumption that their removal prevents progression to cancer. This concept, often called the adenoma-carcinoma sequence.

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Endoscopic Appearance of Pedicled Polyp...

Gastroenterology Atlas

Endoscopic snare excision of large pediculated polyp. Most pedunculated polyps are removed by transection of the stalk with a polypectomy snare. The major risk with this approach is postpolypectomy...

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Endoscopic Appearance of Pedicled Polyp...

Gastroenterology Atlas

Endoscopic Image of Tubular Adenoma on a Long Stalk. Adenomatous polyps are precursors of most colorectal cancers, and their prevalence increases with age. The chance of detecting adenomatous polyps...

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Endoscopic Appearance of Pedicled Polyp...

Gastroenterology Atlas

Endoscopic Appearance of Tubular Adenoma on a Long Stalk.

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Endoscopic Appearance of Pedicled Polyp...

Gastroenterology Atlas

This is the case of a 54 year-old male with rectal bleeding.

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Scirrhous Gastric Carcinoma - Endoscopy...

Gastroenterology Atlas

In this video image shows the ulcer of the gastric cardias observed in the previous endoscopy, see image 4 of 43, however as I said before, the endoscopist in the Social Security hospital had not...

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Barrett Esophagus - endoscopic view (9...

Gastroenterology Atlas

A small remnant of the tongues. A new session of ablative therapy with Argon Plasma coagulator was performed.

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Barrett Esophagus - endoscopic view (8...

Gastroenterology Atlas

A follow up endoscopy. 18 months after the therapy with argon plasma coagulator (APC) The tongues has been shortened.

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Barrett Esophagus - endoscopic view (7...

Gastroenterology Atlas

Some biopsies were taken with jumbo forceps. The use of the larger 3.4 mm forceps results in larger biopsies than the standard 2.4 mm biopsy forceps, and they are therefore best for diagnostic purposes....

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Barrett Esophagus - endoscopic view (6...

Gastroenterology Atlas

Chromoendoscopy using Lugol's solution. Lugol's solution is an absorptive staining. Lugol chromoendoscopy has been used to detect early esophageal cancer, which is difficult to recognize by routine...

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Barrett Esophagus - endoscopic view (5...

Gastroenterology Atlas

Chromoendoscopy using Lugol's solution. Staining of the mucosa with Lugol's solution during endoscopy has been suggested to identify early cancer and dysplasia that may improve prognosis. It has...

views: 438 comments: 0

Barrett Esophagus - endoscopic view (4...

Gastroenterology Atlas

Barrett Esophagus - endoscopic view Enhanced magnification endoscopy is an accurate method of predicting Specialized intestinal metaplasia in Barrett's esophagus. The simplicity of the technique...

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Barrett Esophagus - endoscopic view (3...

Gastroenterology Atlas

Barrett Esophagus. Enhanced magnification endoscopy. Acetic acid-enhanced magnification endoscopy in the diagnosis of specialized intestinal metaplasia, dysplasia and early cancer in Barrett's esophagus.

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Barrett Esophagus - endoscopic view (2...

Gastroenterology Atlas

Barrett Esophagus. Enhanced magnification endoscopy. Enhanced magnification endoscopy is a technique to identify specialized intestinal metaplasia in Barrett's esophagus.

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Endoscopic view of Barrett Esophagus (1...

Gastroenterology Atlas

A 53 year-old male with long standing GERD. The mean age of development of Barrett's esophagus is estimated to be 40 years, yet the mean age at diagnosis is 63 years. This suggests that a premalignant...

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Montgomery T-Tube

Rahmat Omar

In this video we can see the endoscopic examination of the trachea and the larynx. The patient has inserted the indwelling T-tube because of tracheal stenosis. Due to the position of the upper end of...

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Endoscopic Trans-Nasal Exploration Of The...

Islam Gawish

This video shows endoscopic trans-nasal exploration of the skull base.

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