Patient ⇄ Imported from practice record
PatientMax Mustermann
DOB · Age · Sex12 Mar 1972 · 54 y · M
Patient IDDEMO-000481
ProcedureColonoscopy · 2 Jul 2026
EndoscopistDr. Eva Beispiel
IndicationScreening — FH of CRC
Risk profile
Family history of CRCFirst-degree (father, dx 58 y)
Type 2 diabetesDiet-controlled
Former smokerStopped 2015
No previous colonoscopyNo IBD · no antithrombotics · ASA II
Preparation & sedation
0
Right
0
Transverse
0
Left
Boston Bowel Preparation Scale
BBPS 8/9 — adequate
Preparation
Split-dose PEG
Sedation
Propofol (monitored) · CO₂
Cecal intubation · withdrawal
Yes ✓ · 09:20 min
Findings
1
Polyp · 12 mm — Sigmoid colon
Paris 0-IIa · NICE 2 · hot snare, en bloc · retrieved (H1)
2
Polyp · 4 mm — Ascending colon
Paris 0-Is · NICE 2 · cold snare · retrieved (H2)
B
Biopsies ×2 — Descending colon
Focal erythema, no ulceration · cold forceps (H3)
Impression: two adenomas resected, erythema biopsied — histology pending (H1–H3).
Draft complete — ready for physician review.
Surveillance in 3 years — provisionalESGE post-polypectomy guideline (adenoma ≥ 10 mm) · confirmed at sign-off
Colon map
PolypectomyBiopsy