Endoscopic snare excision of large pedunculated colorectal ... | 合法醫療器材資訊網

由GBrandimarte著作·2001·被引用50次—Endoscopicsnareexcisionoflargepedunculatedcolorectalpolyps:anew,safe,andeffectivetechnique.Endoscopy.2001Oct;33(10):854-7.doi: ...

Background and study aims: The endoscopic polypectomy of large pedunculated polyps can have serious complications, such as hemorrhage, which has an incidence of about 2 %. We describe here a new, safe, and effective technique of endoscopic polypectomy for the treatment of large pedunculated colorectal polyps using a standard detachable diathermic snare.

Patients and methods: 35 patients (18 men, 12 women; mean age 67.3, range 35 - 82), with 43 pedunculated colorectal polyps, of benign appearance and of size 3 cm or larger (range 3 - 5 cm) on colonoscopy, were included in our study. The polypectomy was performed in two steps: a) we first placed a polypectomy snare round the middle of the stalk, as a prophylactic measure to prevent postpolypectomy bleeding, and we then took out the colonoscope without removing the snare after dismantling it and blocking with a clip; b) endoscopic polypectomy was done ...