Resection of a pedunculated colonic polyp with a long stalk

(A) 2 cm polyp in the sigmoid; (B) after passing and retracting the endoscope, the long stalk is demonstrated; (C) the polyp is ensnared with an endoloop; (D) the endoloop is closed to ligate the pedicle; (E) the polyp is snared near to the head; (F) after resection a visible vessel is recognized at the resection site; (G) to achieve definitive hemostasis a hemoclip is placed; (H) final appearance.