A 65-year-old woman with liver cirrhosis and esophageal varices who is on
follow-up endotherapy for her esophageal varices was referred for removal of
gastric polyps. Gastroscopic examination of the stomach revealed multiple
pyloric polyps. The largest one was removed using the EMR technique. First, the
polyp was ligated by 2 rubber bands. then cutting of the polyp was done using a
snare. Immediate minimal bleeding was obvious after the procedure. We use the
tip of the snare and diathermy to stop the bleeding. The patient platelet count
was 60000 and the international normalized ratio was 1.2. histopathology
revealed gastric adenoma with dysplastic changes.
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