Subtle lesions, as serrated adenomas are hard to find. It is vital to focus on the wall of the colon for subtle signs of vessel cut off; also, the injection of Indigo Carmine helps to define the lesion,...
Cap fitted colonoscope helps in the identification of lesions hiding behind folds. Here is an example of a subtle lesion hidden behind a fold that was detected by a cap fitted colonoscope.
Subtle flat lesions are hard to detect and hard to remove with simple snare resection. Hence, endoscopic mucosal resection is required to remove such lesions as shown here.
Following video presents a screening colonoscopy performed in middle aged woman. A flat lesion was found in her transverse colon. EMR was done after 5 ml of Indigo Carmine injection, followed by 10 mm...
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