I received a surgery card and is noted in the report the following:
Colo with EMR (snare polypecty with saline injection assist)
With APC cognulation/ablation of polyp and resolution clip placement
Report:
Indication: Flat large tubular adenoma here for removal, history of partial coletomy/colon cancer
Procedure: The endoscope was passed w/out difficulty through the anus under direct visualization and advanced to the colonic anastomotic region. The scope was withdrawn and the mucosa was carefully examined. The quality of the prep was good and the views were good. The patient's toleration of the procedure was good. Retroflextion was performed in the rectum.
Findings: Anastomosis encountered in the proximal colon at what appeared to the hepatic reflection behind it. Did EMR (endoscoppic mucosal resection with saline lift assist and snare polypectomy). 7cc injected. The polyp was removed by polypectomy. Unfortunately we were unable to remove it in one piece as the snare would not capture the whole thing easily, even though the polyp did appear to lift off the colon wall. We removed the polyp with cold snare polypectomy in two pieces. We used APC coagulation /ablation (15W. 0.6L/min) to ablate any remaining tissue along the edges of the polpectomy site. We placed a resolution clip to approximate the edges of the polypectomy site to help prevent against post-polypectomy bleeding. We attempted to place a second clip but were unsuccessful as it was unable to gain purchase along one side of the clip. There was evidence of mild diverticulosis in the transverse colon and sigmoid colon. Small internal hemorrhoids were found.
Summary:
Anastomosis encountered in proximal colon at what appeared to be the hepatic flexure.
Flat 1.3cm polyp nestled in the crevice b/t two folds at the hepatic flexure with what appeared to be the hepatic reflection behind it
Did EMR (endoscoppic mucosal resection with saline lift assist and snare polypectomy) 7cc injected. Polypectomy was performed.
Unfortunately we were unable to remove it in one piece as the snare would not capture the whole thing easily, even though the polyp did appear to lift off the colon wall.
We removed the polyp with cold snare polypectomy in two pieces.
We used APC coagulation/ablation (15w,0.6L/min) to ablate any remaining tissue along the edges of the polypectomy site.
We placed a resolution clip to approximate the edges of the polypectomy site to help prevent against post-polypectomy bleeding.
We attempted to place a second clip but were unsuccessful as it was unable to gain purchase along on side of the clip.
Mild diverticulosis found in the transverse and sigmoid colon
Internal hemorrhoids found
Otherwise Normal exam
Thanks for any help you may provide!
Colo with EMR (snare polypecty with saline injection assist)
With APC cognulation/ablation of polyp and resolution clip placement
Report:
Indication: Flat large tubular adenoma here for removal, history of partial coletomy/colon cancer
Procedure: The endoscope was passed w/out difficulty through the anus under direct visualization and advanced to the colonic anastomotic region. The scope was withdrawn and the mucosa was carefully examined. The quality of the prep was good and the views were good. The patient's toleration of the procedure was good. Retroflextion was performed in the rectum.
Findings: Anastomosis encountered in the proximal colon at what appeared to the hepatic reflection behind it. Did EMR (endoscoppic mucosal resection with saline lift assist and snare polypectomy). 7cc injected. The polyp was removed by polypectomy. Unfortunately we were unable to remove it in one piece as the snare would not capture the whole thing easily, even though the polyp did appear to lift off the colon wall. We removed the polyp with cold snare polypectomy in two pieces. We used APC coagulation /ablation (15W. 0.6L/min) to ablate any remaining tissue along the edges of the polpectomy site. We placed a resolution clip to approximate the edges of the polypectomy site to help prevent against post-polypectomy bleeding. We attempted to place a second clip but were unsuccessful as it was unable to gain purchase along one side of the clip. There was evidence of mild diverticulosis in the transverse colon and sigmoid colon. Small internal hemorrhoids were found.
Summary:
Anastomosis encountered in proximal colon at what appeared to be the hepatic flexure.
Flat 1.3cm polyp nestled in the crevice b/t two folds at the hepatic flexure with what appeared to be the hepatic reflection behind it
Did EMR (endoscoppic mucosal resection with saline lift assist and snare polypectomy) 7cc injected. Polypectomy was performed.
Unfortunately we were unable to remove it in one piece as the snare would not capture the whole thing easily, even though the polyp did appear to lift off the colon wall.
We removed the polyp with cold snare polypectomy in two pieces.
We used APC coagulation/ablation (15w,0.6L/min) to ablate any remaining tissue along the edges of the polypectomy site.
We placed a resolution clip to approximate the edges of the polypectomy site to help prevent against post-polypectomy bleeding.
We attempted to place a second clip but were unsuccessful as it was unable to gain purchase along on side of the clip.
Mild diverticulosis found in the transverse and sigmoid colon
Internal hemorrhoids found
Otherwise Normal exam
Thanks for any help you may provide!