Villous

APC Adenocarcinoma Argon Plasma Coagulation BIOPSY Mass adenoma bleeding cancer coagulation colon colonoscopy connective tissue dentate emr endoscopic mucosal resection mucosa polyp rectosigmoid rectum resection retroflexion sessile sigmoid stalk
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Tubulo - Villous Rectal Adenoma - Endoscopy (22...

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

Tubulo - Villous Rectal Adenoma - Endoscopy (21...

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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.

Tubulo - Villous Rectal Adenoma - Endoscopy (20...

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The fragment was placed in a container of formalin.

Tubulo - Villous Rectal Adenoma - Endoscopy (18...

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In this image and the video clip show almost the tumor has been resected.

Tubulo - Villous Rectal Adenoma - Endoscopy (17...

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We continue with the polypectomy of large fragments, retroflexed maneuver.

Tubulo - Villous Rectal Adenoma - Endoscopy (15...

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Continue excising pieces of this giant Tubulo-Villous adenoma in the dentate line.

Tubulo - Villous Rectal Adenoma - Endoscopy (14...

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Some fragments are attached to the dentate line

Tubulo - Villous Rectal Adenoma - Endoscopy (13...

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More remaining are being resected with the loop diathermy.

Tubulo - Villous Rectal Adenoma - Endoscopy (12...

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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....

Tubulo - Villous Rectal Adenoma - Endoscopy (11...

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

Tubulo - Villous Rectal Adenoma - Endoscopy (10...

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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...

Tubulo - Villous Rectal Adenoma - Endoscopy (9...

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Then remove another piece of large size

Tubulo - Villous Rectal Adenoma - Endoscopy (8...

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More image and video clip observing the fragments of infiltrative appearance.

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