Patient: Middle aged patient self-referred for EMR to avoid right hemicolectomy.
Lesion: 40 mm flat lesion. Optical diagnosis: Serrated adenoma.
Preparation: Split dose preparation.
Anesthesia: General anesthesia
Resection: Piecemeal EMR
Injection: 20 ml of saline and coloring agent: Methylene Blue. Resection: Piecemeal EMR.
Ablation: APC 0.8 l and 35 Watts
Clip closure: 12 clips
Total procedure time: 1 hour 11 min
Post procedure: Uneventful.
Pathology:Sessile serrated adenoma.
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