polyp

APC FAP adenoma argon coagulation ascending colon bleeding cancer cecum colon colonoscopy descending colon emr endoscopic endoscopic mucosal resection endoscopy gastroscopy lesion polypectomy rectum resection sigmoid sigmoid colon snare resection stomach transverse colon
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Colonoscopy: Serrated Polyposis

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A middle aged patient was referred for EMR of a large lesion in the colon. It was deferred because of multiple polyps suggestive of serrated polyposis.

Colonoscopy: Ascending Colon EMR - Large Polyp

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A case of ascending colon polyp - pathology revealed LST Granular tumor. The resection was preceded by polip injection with saline and methylene blue and performed with snare and hot biopsy avulsion....

Colonoscopy: Giant Rectal Polyp Resection Avoids...

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A video showing a long procedure of resection of rectal polyp. Whole procedure took 1,5 hours due to size of polyp and its adverse location.

Giant Sigmoid Colon Polyp Resection & OTSC...

views: 5127 comments: 2
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A middle aged patient with a thick stalked colon was referred to the UT MD Anderson Cancer Center for resection of this large polyp. This can be safely and completely resected by endoscopists with expertise...

Colonoscopy: Sigmoid Colon Pedunculated Polyp...

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Video showing a resection of pedunculated polyp of sigmoid colon. As it is shown, water immersion helps in placing a snare around large pedunculated polyps, even when the polyp head was large.

Colonoscopy: Sigmoid Colon Pedunculated Polyp...

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A case of underwater resection of pedunculated polyp localised in sigmoid colon.

Colonoscopy: Ascending Colon Tethered Polyp

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A resection of tethered polyp prior to previous resection. In such cases it's important to perform injections away from the scar.

Colonoscopy: Ascending Colon Tethered Polyp -...

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Tethered polyp after prior incomplete cut are difficult to remove with EMR; in such cases use underwater EMR with general anesthesia to have a stable operating field and an experienced technician assisting...

Colonoscopy: Descending Colon Suction EMR of...

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Two prior snare resection attempts tethered the polyp to the colon wall and could not be removed and was recommended to undergo surgery. We used suction to loosen the polyp, very little injection 1 ml,...

Colonoscopy: Rectal Polyp EMR - Large Sessile...

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Rectal polyp: Large sessile polyp Injection: 3.5 ml Epinephrine 1:10,000 and 30 ml of saline with a Methylene Blue Snare: 20 mm stiff snare Endocut Q 3-1-5 Coagulation grasper to cauterize vessels Clip...

Colonoscopy: Sigmoid colon pedunculated polyp...

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Video showing a resection of pedunculated polyp of sigmoid colon. As it is shown, water immersion helps in placing a snare around large pedunculated polyps, even when the polyp head was large.

Colonoscopy: Subtle polyp - transverse colon

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Examining the wall closely helps to identify subtle flat lesions. It is important to resect them completely. Among various techniques lift and cut technique assures complete resection.

Colonoscopy: Subtle Polyp - Descending Colon

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As it's shown on this clip, bleeding after cold biopsy polypectomy interferes with checking completeness of resection. It's vital to have patience to check the site and confirm complete excision

Colonoscopy: Subtle polyp - Hepatic Flexure

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A video showing subtle polyp in the hepatic flexure fo the colon. It is mportant to go back to check around bends to detect subtle lesions and take a photo after removal of even small polyps to document...

Colonoscopy: Subtle Polyp - Cecum

views: 4479 comments: 0
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It is important to take time and scan the walls of the colon. Pulling the endoscope straight out of the center of lumen may not be good enough as subtle flat lesions may be out of focus and can be missed.

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