Abstract
A 60-year-old female was admitted toour hospital becauseof hematemesis and tarry st stool UpPer GI series(Figure 2-a, 2-b)and endoscopy(Figure 1)revealed a glant pedunculated polyp 5cm in diameteron the anteriorof duodenal capolt was too large to withdrew the resected speicemen vii pyloric ring by single polypectomy. So piecemeal plypectomy was performed using a vinyl snare for the prevention against the hemorrhageo Two thirdsof the polyp was removed by the procedure. There was noaccldeht such as a hemorrhage and a perforation. Histology was a Brunner's gland adenoma(Figure 4-a, 4 -b), The sizeof the remaining tumor was diminished a week lateroIt is suggested that the piecemeal Polypectomy using the vinyl snare will be safe and effective in patients with a giant duodellal polyp more than 3cm in diameter.
