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Endoscopic Resection of Giant Tubulo-Villous of the rectum (24 of 35)
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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Photograph of some of the fragments Macroscopic details of the removed tumor,

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Endoscopic Image of Adenocarcinoma of the Transverse Colon (4 of 9)
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Endoscopic Image of Adenocarcinoma of the...

Gastroenterology Atlas

The tumor can be seen translucent through intestinal wall.

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Endoscopic Resection of Giant Tubulo-Villous of the rectum (29 of 35)
N/A

Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Shows the mucosa and submucosa of the polyp with the muscularis mucosae.

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Endoscopic Resection of Giant Tubulo-Villous of the rectum (28 of 35)
N/A

Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Detail at high magnification of cellular atypia.

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

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...

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Endoscopic Resection of Giant Tubulo-Villous of the rectum (25 of 35)
N/A

Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Base of polyp with vascular connective tissue and thermal effects.

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Palliation of Dysphagia of Esophageal Cancer by Endoscopic Lumen Restoration with Intraluminal tumor Debulking (16 of 18)
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Palliation of Dysphagia of Esophageal Cancer...

Gastroenterology Atlas

There is an epithelial perl with keratin. There are also malignant Squamous cells, with keratin. This is an epidermoid carcinoma, well differentiated.

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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 Adenocarcinoma - Endoscopic Image  (6 of 20)
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Barrett Adenocarcinoma - Endoscopic Image...

Gastroenterology Atlas

At the microscope is a mucus-secreting glandular neoplasia,

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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 Resection of Giant Tubulo-Villous of the rectum (26 of 35)
N/A

Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Histopathology – Tubulovillous adenoma of rectum Panoramic view of tubulovillous pattern.

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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 Resection of Giant Tubulo-Villous of
 the rectum (27 of 35)
N/A

Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Detail at higher magnification of the villi.

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

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.

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Endoscopic snare excision of large pediculated...

Gastroenterology Atlas

Endoscopic snare excision of large pediculated polyp. This sequence displays a polypectomy of long stalked Polyps at the transverse colon near splecnic flexure.

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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...

views: 579 comments: 0

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 Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Some fragments are attached to the dentate line

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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 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

More remaining are being resected with the loop diathermy.

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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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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

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 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

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 snare excision of large pediculated...

Gastroenterology Atlas

Cautery is applied to the wire loop, which was tightened around the stalk of the polyp.

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Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

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

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Endoscopic snare excision of large pediculated...

Gastroenterology Atlas

Placement of a snare wire over the stalk of the polyp.

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Endoscopic Resection of Giant Tubulo-Villous of
 the rectum (27 of 35)
N/A

Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Detail at higher magnification of the villi.

views: 537 comments: 0

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....

views: 535 comments: 0

Endoscopic Resection of Giant Tubulo-Villous...

Gastroenterology Atlas

Two week after a follow up endoscopy was performed Shows the granulation tissue, multiple biopsies were taken, which showed no adenomatous tissue, however reinforced ablative therapy with argon plasma...

views: 530 comments: 0

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...

views: 525 comments: 0

Endoscopic Image of Adenocarcinoma of the Transverse Colon (6 of 9)
N/A

Endoscopic Image of Adenocarcinoma of the...

Gastroenterology Atlas

Another view of same case as above. Macroscopic view of this Duke´s A colon carcinoma.

views: 522 comments: 0

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...

views: 521 comments: 0

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

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

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

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

views: 511 comments: 0