🔶The humanoid shaped structures on endoscopic examination represent colonic pseudopolyps (post-inflammatory polyps), which are non-neoplastic mucosal remnants resembling stick figures. ∆ Etiology: They arise during the healing phase of severe mucosal ulceration, where islands of regenerating granulation tissue form raised projections. • This classic finding is heavily associated with Inflammatory Bowel Disease (IBD), particularly long standing Ulcerative Colitis. ∆ Clinical Management: They require periodic endoscopic surveillance and medical management of IBD, with polypectomy reserved only for symptomatic or obstructive lesions.

Peutz–Jeghers Syndrome (PJS) 1. Autosomal dominant disorder Caused by mutation in STK11 (LKB1) tumor suppressor gene. 2. Mucocutaneous pigmentation Dark blue-brown melanin spots on lips, oral mucosa, fingers, and perioral area. 3. Hamartomatous polyps Multiple polyps in small intestine (especially jejunum), also stomach and colon. 4. Histology of polyps Characteristic tree-like branching of smooth muscle within polyp. 5. Age of presentation Usually childhood or adolescence (pigmentation often appears early). 6. Main clinical issue Recurrent intestinal obstruction, intussusception, abdominal pain. 7. Bleeding risk GI bleeding → anemia due to multiple polyps. 8. Cancer risk (very important) Increased risk of multiple malignancies: Pancreatic (high yield) Colorectal Gastric Breast Ovarian/testicular tumors 9. Diagnosis Based on: Typical pigmentation polyps Family history Endoscopy/biopsy confirmation 10. Management Regular endoscopic surveillance Polypectomy to prevent obstruction Cancer screening lifelong.

🎤 Polypectomy / EMR (Colon) @salahudinkhalid delivers an insightful session on Polypectomy and Endoscopic Mucosal Resection (EMR) in the Colon, sharing practical techniques and best practices for effective endoscopic management of colorectal lesions.#TECNA2026 #ScopeHealthUK

procedure was performed. During the colonoscopy, if doctors see a polyp — a small growth inside the colon — they usually remove it right away (polypectomy). In my case, a non-cancerous polyp in descending colon was removed via cold snare polypectomy (JNET 2A). The tissue was then

The image from the colonoscopy shows a smooth, rounded, pedunculated (stalk-like) mass projecting into the lumen of the colon. This is a classic presentation of a colonic polyp, specifically a pedunculated adenomatous polyp. Why This Finding is Clinically Important The detection of such polyps is the cornerstone of colorectal cancer prevention. Precancerous Potential: Adenomatous polyps are considered neoplastic. While they are benign at the time of discovery, they possess the potential to transform into colorectal adenocarcinoma over time through the "adenoma-carcinoma sequence." The "Adenoma-Carcinoma Sequence": This describes the genetic and histological progression from normal colonic epithelium to a small adenoma, to a large/advanced adenoma, and finally to invasive cancer. Asymptomatic Nature: As noted in the post ("No symptoms. No pain."), these polyps are often silent. This is precisely why screening colonoscopy is critical; it allows for the identification and removal of these lesions before they ever have the chance to become malignant. Clinical Management When a mass like this is identified during a colonoscopy, the following steps are typically taken: Polypectomy: This is both diagnostic and therapeutic. The polyp is removed during the procedure using a wire snare (often with electrocautery) to cut through the stalk. Histopathological Examination: The removed polyp is sent to a pathologist. They determine the type (e.g., tubular adenoma, tubulovillous adenoma) and check for the presence of high-grade dysplasia or invasive cancer. Surveillance Planning: Based on the size, number, and histological findings of the polyp, the gastroenterologist will determine the appropriate interval for the patient's next surveillance colonoscopy.

แทบไม่เคยเห็น polypectomy แล้ว bleed จน hct drop เลยคุณมา ทำไมต้องเกิดกับน้องนี่ด้วย แงง 😭

Six Parallel Masterclass Stations Each station: 30 min focused lecture 90 min hands-on Total: 120 min 1. Advanced Polypectomy & EMR Lecture (30 min) Lesion assessment (Paris classification, NICE/JNET) Cold snare vs hot snare EMR techniques Prevention of post-polypectomy complications Hands-on (90 min) Cold snare polypectomy Pedunculated polyp resection EMR with submucosal injection Specimen retrieval 2. Endoscopic Submucosal Dissection (ESD) Lecture (30 min) Indications and patient selection Marking, injection, circumferential incision Traction methods Management of perforation and bleeding Hands-on (90 min) Knife handling Mucosal incision Submucosal dissection on ex-vivo models 3. Defect Closure & Perforation Management Lecture (30 min) Through-the-scope clips Over-the-scope clips Purse string closure Endoscopic suturing overview Closure algorithms Hands-on (90 min) Clip closure Large defect closure techniques OTSC deployment (if available) Endoloop Sutuart 4. Endoscopic Hemostasis Lecture (30 min) Non-variceal bleeding Post-ESD/EMR bleeding Mechanical, thermal, and topical therapies Hemostasis algorithms Hands-on (90 min) Clip placement Coagulation forceps APC Hemostatic powder application 5. Bariatric Endoscopy Lecture (30 min) Intragastric balloons Endoscopic sleeve gastroplasty (ESG) Revisional bariatric endoscopy Patient selection Hands-on (90 min) Suturing platform demonstration ESG simulation Balloon placement/removal 6. EUS-Guided Tissue Acquisition (FNA/FNB) Lecture (30 min) Needle selection FNA vs FNB Sampling techniques ROSE and specimen handling Hands-on (90 min) Scope positioning Needle puncture techniques Pancreatic mass and lymph node models

[JUNE 24th] Learn about safe #Polypectomy techniques & closure strategies. ➡️REGISTER from your mobile device => endoscopynowapp.app.link/XBI… ➡️Sign up on Zoom=> us06web.zoom.us/webinar/regi… @bostonsci @bsc_endoscopy #Gastroenterology #GIEndoscopy #GIFellows #GITwitter #GINurse #TwitterMed

A removable hemostasis clip provides clinicians with real-time control & flexibility, enabling confident treatment. Reposition, remove, & re-treat with the RePlay® Clip as needed. Use polypectomy snares for straightforward removal. #GITwitter Link: okt.to/MwUlRO

Tips for Colon Polypectomy I would also add: have clips and injector needles available, know how to perform a submucosal cushion, do not perform polypectomy in dirty colon

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