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[普外] 结肠镜检查-大盲肠平坦病变EMR

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发表于 2015-10-22 15:00:12 | 显示全部楼层 |阅读模式
 楼主| 发表于 2015-10-22 15:00:13 | 显示全部楼层
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.

                               
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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.
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