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

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
› Author Affiliations
 
 

    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.


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    Publication History

    Article published online:
    19 March 2021

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