Safe endoscopic resection of a giant pedunculated colonic polyp after epinephrine volume reduction with clip placement

Post written by Tsukasa Ishida, MD, PhD, from the Department of Gastroenterology, Akashi Medical Center, Akashi, Japan. We present the case of a 59-year-old woman with a giant pedunculated polyp in the transverse colon. The lesion was approximately 50 mm in diameter with an elongated stalk and considered technically difficult to resect safely by conventional snare EMR …

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Endoscopic resection of a giant pedunculated colonic polyp using a detachable snare and scissors-type knife

Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. A 60-year-old man presented with intermittent abdominal pain. An abdominal CT scan showed colocolonic intussusception of the sigmoid with a 50-mm polypoid mass as the leading point. We performed a colonoscopy and found a giant …

Continue reading Endoscopic resection of a giant pedunculated colonic polyp using a detachable snare and scissors-type knife

Salvage endoscopic resection for perforation site recurrence of colonic polyp

Post written by Deepak Madhu, MD, MRCP, DM, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. A 79-year-old patient underwent endoscopic submucosal dissection (ESD) for resection of a colonic polyp. The resection was complicated by an intraprocedural perforation, which an endoscopic omental patch closed. A surveillance endoscopy performed 1 year later showed …

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Mucosubmucosal elongated colonic polyp

Post written by Jennifer L. Horsley-Silva, MD, and David E. Fleischer, MD from the Division of Gastroenterology and Hepatology, Mayo Clinic,  in Phoenix, Arizona, USA. Our video is of a surveillance colonoscopy that demonstrated a 12 mm elongated, pedunculated polyp that was “wormlike” in appearance and found in the ascending colon. An EndoLoop detachable ligating device …

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