ENDOSCOPIC RESECTION OF GIANT PEDUNCULATED POLYPS
Shaimaa Elkholy*, Karim Essam, Hany Haggag, Abeer A. Abdellatef, Kerolis Yousef, Dalia Abd El-Kareem, Mohamed El-Sherbiny
Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt
Large pedunculated polyps are usually managed either by endoloop application or clips & EMR. However, in huge pedunculated polyps with large heads piecemeal resection was the only resort or surgery for the fear of expected significant bleeding. Here we present a series of huge pedunculated polyps head 6cm & stalk 3 cm. In the first patient multiple clips were applied to the base to minimize the bleeding followed by dissection the stalk with the knife & getting out the lesion enbloc. Another large twin polyp was noted almost occluding the hepatic flexure resected with ESD to the base of the pedicle.Thinking outside the box to avoid invasive procedure as surgery or suboptimal solutions as pEMR
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