Colonoscopy: Giant Sigmoid Colon Polyp Resection HD

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