结肠镜-巨大乙状结肠息肉切除术

                               
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Problem: Giant sigmiod colon polyp referred for resection as an alternative to surgery
Multiple steps involved:
1. Epinephrine volume reduction (inject epinephrine into the head and stalk and then let it work; go to the cecum and come back; polyp may become smaller).
2. Snare resection - 25 mm snare - Endocut Q3-1-6 followed by residual polyp resection at the base. Then, EMR of a flat lesion at the base
3. Coagulation grasper to cauterize small vessel
4. APC of the resection edge
5. Clip closure to prevent delayed bleeding.
6. Took one hour