endoscopy
Tubulo - Villous Adenoma - Endoscopy (24 of 28)
The fragment that has been cut is observed. Excised polyp, waiting to be retrieved.
Tubulo - Villous Adenoma - Endoscopy (23 of 28)
More tissue is being excisioned with the diatermia snare.
Tubulo - Villous Adenoma - Endoscopy (22 of 28)
In this image and the video clip, is observed the biggest fragment of the polyps that has been excisioned.
Tubulo - Villous Adenoma - Endoscopy (21 of 28)
The fragment of the polyps have fallen out. They are showed here, after the removal of the first fragment.
Tubulo - Villous Adenoma - Endoscopy (20 of 28)
Placement of a snare wire over the head of the polyp. Cautery is applied to the wire loop which has been tightened around the stalk of the polyp.
Tubulo - Villous Adenoma - Endoscopy (19 of 28)
Piecemeal excision of the rectal adenoma. The image and the video clips display the procedure, that carried out with piecemeal excision. Large sessile polyps usually require piecemeal snare resection.
Tubulo - Villous Adenoma - Endoscopy (18 of 28)
After reducing the size of the polyp using argon plasma coagulator (APC). Cautery is applied to the wire loop which has been tightened around the stalk of the polyp.
Tubulo - Villous Adenoma - Endoscopy (17 of 28)
After one hour and twenty minutes, we continued the polypectomy of the remnant with snare excision. The goal to reduce it of size with APC has been fulfilled.
Tubulo - Villous Adenoma - Endoscopy (16 of 28)
Status post Argon Plasma Coagulator. At this moment we decided to put aside this procedure, with the purpose of taking it back in a second instance. The size reduction will be easier, doing the extraction...
Tubulo - Villous Adenoma - Endoscopy (13 of 28)
The image and the video clip display the effectiveness of the Argon Plasma Coagulator, reducing the size of the polyp and excisioning it afterwards.
Tubulo - Villous Adenoma - Endoscopy (12 of 28)
We began the procedure by using the Argon Plasma Coagulator.
Tubulo - Villous Adenoma - Endoscopy (11 of 28)
At first, we thought to place an endoloop on the pedicle, but afterwards we decided to use argon plasma coagulator, aiming at the reduction of its size, and then cautery will be applied to the wire...
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