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Polypectomy of large pedunculated polyps is associated with postpolypectomy hemorrhage. The risk of postpolypectomy bleeding can be reduced with preventive techniques, such as preligation with an endoloop; however, the placement of the ligating loop can be difficult, particularly if the polyp head is large or the lumen is narrow, such as in the left side of the colon. We present an option for how to solve this technical problem.

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