Endoscopy 2021; 53(S 01): S172-S173
DOI: 10.1055/s-0041-1724722
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Underwater Piecemeal Endoscopic Mucosal Resection (EMR) With Hot Snare of a Giant Sigmoid Polyp

Authors

  • L Gonzalez-Gonzalez

    1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit. Gastroenterology Department, Badalona, Spain

  • J Colan-Hernandez

    1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit. Gastroenterology Department, Badalona, Spain

  • I Marín

    1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit. Gastroenterology Department, Badalona, Spain

  • V Moreno

    1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit. Gastroenterology Department, Badalona, Spain

  • N Caballero

    1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit. Gastroenterology Department, Badalona, Spain

  • M Puig

    1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit. Gastroenterology Department, Badalona, Spain

  • I Iborra

    1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit. Gastroenterology Department, Badalona, Spain

  • J Troya

    1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit. Gastroenterology Department, Badalona, Spain

  • H Uchima

    1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit. Gastroenterology Department, Badalona, Spain
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    We present an 84-year-old male where a CT scan was performed for constipation study. The CT-scan showed a giant lobulated sigmoid lesion and an appendicular adenocarcinoma.In the colonoscopy we saw a giant sigmoid polyp that obstructed the intestinal lumen and was located between two angulations, but there were no endoscopic signs of deep invasion. We performed a piecemeal underwater EMR with hot snare to avoid a subtotal colectomy. The anatomopathological study showed a tubulo-villous adenoma with high and low-grade dysplasia with foci of intramucosal adenocarcinoma (pTis).Given the patient’s comorbidities it was decided to do only endoscopic follow-up

    Citation: Gonzalez-Gonzalez L, Colan-Hernandez J, Marín I et al. eP226V UNDERWATER PIECEMEAL ENDOSCOPIC MUCOSAL RESECTION (EMR) WITH HOT SNARE OF A GIANT SIGMOID POLYP. Endoscopy 2021; 53: S172.


     

    Publication History

    Article published online:
    19 March 2021

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