Colonoscopy- IC Valve Polyp EMR 51MB

Colonoscopy- IC Valve Polyp EMR


Patient: Elderly woman; head and neck cancer survivor; referred for EMR.
Lesion: Laterally spreading granular tumor involving IC valve
Anesthesia: General anesthesia to avoid respiratory movement of the lesion during resection as this lesion was difficult to access
Endoscope: Colonoscope with a cap; CO2; Cap was set longer to navigate around IC valve bend.
Injection: Saline + Methylene Blue 12 cc; inject on the ileal side to prolapse the polyp out.
Resection: 10 mm stiff snare with endocut Q 3-1-3; piecemeal resection.
Tissue adherent at the base: Removed with hot biopsy forceps with some tension and a tap on yellow peddle; same current settings.
Clip closure: Elderly age, IC valve lesions increase risk of delayed bleeding; clip closure to prevent delayed bleeding.
Specimen retrieval: Net.
Post-procedure: Liquid diet for two days; low residue diet for two days; regular diet on day 5.
Surveillance: Colonoscopy in 6 months.

thanks