Piecemeal polypectomyPiecemeal resection of an adenoma with flat and elevated parts. (a) The front part of the polyp is ensnared first. The snare is pressed flat against the bowel wall. As the snare is closed the catheter is simultaneously advanced. While closing the snare suction should not be applied. (b) After the first piece is resected, the exposed muscle layer provides orientation concerning the correct depth of further resections. (c) During application of current the ensnared portion is lifted from the bowel wall to avoid deep coagulation. (d) Piecemeal resection is continued on the other side. (e) Finally the elevated middle part is resected. (f) Total piecemeal resection is accomplished.
View the Online Book
This image is taken from U. Seitz, S. Bohnacker, S. Seewald, F. Thonke, N. Soehendra & J. Waye. Chapter 4, In Colonscopy, Advanced Digestive Endoscopy e-books. GastroHep.com.
View the online book
Download this image
PC users: right-click on the image and choose 'Save Picture/Image As' from the popup menu.
Mac users: click and hold down over the image and choose 'Save This Image As' from the popup menu.
Submit your images
Play a part in the GastroHep.com community by publishing your important images in the Slide Atlas. We're looking for high quality images in gastroenterology, hepatology or endoscopy.