Difficult colon polypectomy

Figure 2 Large polyp located in the transverse colon (A). A closer inspection reveals that this polyp has a thick stalk (B); After injecting the stalk with adrenaline-saline mixture the snare was placed around it; Notice that the snare exits the scope at 5 o’clock position (C); A clip was placed at the base of the stalk to prevent post-polypectomy bleeding (D).