结肠镜检查-带蒂息肉切除盲肠

A middle aged patient on anticoagulants, who survived two cancers, underwent partial resection of a giant cecal polyp that was complicated by bleeding - required clips.

                               
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This polyp was at high risk for bleeding - large size, thick stalk, cecal location, patient on anticoagulants. So we decided to use a combination of epinephrine injection followed by loop ligation, resection, followed by another loop ligation to prevent delayed bleeding.