Too large to handle?

During ESD, the endoscopists encounter these vessels in the rectum
WHAT WOULD YOU DO?

■ Back off, these are too large!

Don't be a chicken!

■ Apply Coag with the knife

They are too large for that!

■ Apply a couple of clips

They would get in your way!

■ 'Cook' with forceps

Of course!

explanation

The gastric fundus and the rectum are two locations, often plagued with large vessels. However, vessels of this size is no problem at all.  Just look at the disdain with which Noor treats these in the video below. However, they are too large to simply deal with using the knife and of course clips would get in your way!