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A patient presented for endoscopy because of gastrointestinal bleeding. A solitary Peutz-Jeghers hamartomatous polyp was seen in the duodenum on white light (A) and narrow-band imaging (B); This large polyp was removed endoscopically by first using an endoloop to constrict the broad stalk of the polyp (C); followed by hot-snare resection (D).
