05). Conclusion: Using pulling away skills can reduce the negative emotional Ribociclib order effects on clinical nurses’ psychology situation, improve the psychological

factor effect for solving problems, and then relieve the psychological pressure. It is worth being popularized and applied in heavy and trivial clinical nursing work. Key Word(s): 1. Pulling away skills; 2. pressure; 3. Relieving; 4. nurses; Presenting Author: KUANLOONG CHEONG Additional Authors: MOHARZUDI MOHAMED, RAMAN MUTHUKARUPPAN, JAYARAM MENON Corresponding Author: KUANLOONG CHEONG Affiliations: Ministry of Health, Malaysia Objective: Lymphangioma, a benign tumor usually found in the head, and neck regions, and rarely in the gastrointestinal tract

(GIT) [1–3], is mostly asymptomatic. When symptoms such as bleeding, or intussusceptions are present, resection of lymphangioma is necessary [4–7]. Traditionally, pedunculated lymphangiomas 2 cm or more in diameter are often BMS 354825 treated by surgical resection [8]. However, snaring using the ligating device has been reported as a safe and easy means to treat such lesion [9]. Herein, we report a case of GIT bleeding due to a colonic lymphangioma which was removed by endoscopic polypectomy with a ligating device. Methods: This is a case report of a colonic lymphangioma successfully treated by an endoscopic means. Results: A 71 year old Kadazan lady, Non-specific serine/threonine protein kinase with a history of Billroth II gastrectomy, presented with an 8-day history of melena and symptomatic anaemia, with

no abdominal pain or other alarming features. Examinations were unremarkable. Hemoglobin (Hb) was 6.5 g/dL. Oesophagogastroduodenoscopy revealed a small Forrest 3 ulcer at the anastomotic site. Colonoscopy found a huge pedunculated ascending colonic polyp (Fig. 1). After ligation with an Endoloop, the polyp was resected on the luminal side of the ligating device with a snare without complications. The polyp appeared as a soft 40x35x10 mm polyp. Cross-sectioning of the specimen showed intact colonic mucosa with well-spaced glands lined by benign epithelium and many dilated thin walled endothelial lining channels within the subserosa (Fig. 2). Hb was 8.5 g/dL and colonoscopy revealed no residual tumor 3 months later. Conclusion: The histologic diagnosis was colonic cystic lymphangioma. Key Word(s): 1. Lymphangioma; 2. Colon; 3.