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Colonoscopy: Ascending Colon SSA EMR

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This patient was recommended to undergo a right hemicolectomy; EMR avoided surgery.

Colonoscopy: Cecum SSA - EMR

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The video shows cecal SSA EMR.

Colonoscopy: Ascending Colon SSA EMR

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Saline + Indigo Carmine 3.5 ml 15 mm snare Endocut Q 3-1-3

Colonoscopy: Cecum - SSA Tethered From Biopsy...

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During initial endoscopy the referring endoscopist identified subtle abnormality - slightly thickened fold and took biopsies which turned out to be SSA. Scarring from biopsies made resection technically...

Colonoscopy: Ascending Colon - Serrated Adenoma...

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Lesion: Sessile serrated adenoma - tethered from prior biopsies Injection: Saline + Methylene Blue - 8 cc. Snare: 15 mm snare Electrosurgery: Endocut Q 3-1-3; Snare tip soft coagulation: 80W effect 4...

Colonoscopy: Cecum - SSA - Tethered to the Wall...

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Prior incomplete resection could lead to tethering of the polyp to the muscle which makes it challenging to resect.

Colonoscopy: Transverse Colon EMR

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The video shows transverse colon EMR (endoscopic mucosal resection) of SSA (sessile serrated adenoma). Injection: Saline + Methylene Blue: 10 ml Snare: 15 mm snare Endocut Q 3-1-3

Colonoscopy: Cecum - Subtle SSA EMR

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The video shows endoscopic mucosal resection of subtle sessile serrated adenoma. Injection: 5 ml saline + Methylene Blue Snare: Stiff snare 10 mm Endocut Q 3-1-3 Clips: 4

Colonoscopy: Transverse Colon EMR

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The video shows endoscopic mucosal resection of adenomas located in transverse colon.

Colonoscopy: EMR of Ascending Colon SSA - Prior...

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The video shows the resection of ascending colon SSA which was incompletely resected during previous colonoscopy.

Colonoscopy: Ascending Colon EMR - Thickened...

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Lesion: Ascending colon thickened fold Injection: 6 cc saline with Methylene Blue Snare: 10 mm Endocut: Q3-1-3 APC: Forced APC 0.8 lts and 35 W Clip closure: 4 clips

Colonoscopy: Ascending Colon - Subtle SSA - EMR...

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An EMR and clip closure of subtle sessile serrated adenoma in ascending colon.

Colonoscopy: Cecum Sessile Serrated Adenoma Resection

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As shown on the video above it is vital to define the extent of sessile serrated adenoma and confirm complete resection once it is done by carefully going around the edges of the resection to check for...

Colonoscopy: IC valve SSA - EMR - Central clip...

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It is important to define the extent of SSA first to plan the cut. Then after the cut is done, confirm that the cut was complete. Another take home message, one could close large defects using two layer...

Colonoscopy: Transverse Colon Large EMR

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This video presents a resection of multiple sessille serrated adenomas in the transverse colon of middle aged patient

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