#EMR of antral polyp

A 49-year-old woman presented with colicky abdominal pain was admitted to the endoscopy unit. The patient had a history of upper digestive endoscopy one year ago. The scope revealed a large antral polyp with overlying ulceration and bleeding. Multiple biopsies were taken, and histopathology revealed hyperplastic polyp. Computed tomography of the abdomen and chest are free. The patient underwent upper digestive endoscopy. We remove the polyp using the EMR technique with snare polypectomy. Some tricks about this case: 1- Despite the polyp with ulceration and bleeding, there is no symptomatic melena or hematemesis. Also, the patient hemoglobin level is 14.6 gm/dl. 2- Despite it being a relatively sizeable lobulated polyp, the CT scan is free. 3- When carefully examining the stomach and with inflation of the stomach with air, the polyp disappeared. After reviewing the duodenum again, we found the polyp prolapsed into the bulb. With minimal suction by the scope, the polyp reappeared again in the antrum