结肠镜检查-盲肠-平坦型病变的电子病历53MB

Colonoscopy- Cecum - Flat Lesion EMR

Patient: A middle-aged woman underwent screening colonoscopy; a large flat lesion was identified in the cecum adjacent to the appendix. Biopsies revealed hyperplastic polyp. Referred for right hemicolectomy. EMR was attempted to avoid surgery.
Comorbid conditions: DM.
Anesthesia: Total intravenous anesthesia
Endoscope: Cap fitted pediatric colonoscope with CO2
Lesion: Optical diagnosis - Serrated adenoma.
Injection: Successful lift of the lesion.
Snare resection: 15 mm stiff snare - 3 resections
Resection base: Blue indicating submucosal plane of resection; clean edge with no residue.
APC: Edge of the lesion treated with APC to prevent recurrence.
Clip closure: To prevent delayed complications.
Postprocedure care: Diet: Liquid diet for 2 days, low residue diet for 2 days, regular diet on day 5.
Pathology: Sessile serrated adenoma.