Post written by Takahiro Muramatsu, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, and the Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, and Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. An 80-year-old man underwent piecemeal EMR for a lesion that extended …
Tag: polypectomy
Safety of cold snare resection techniques for removal of small colon polyps in patients taking clopidogrel and aspirin: a Korean Association for the Study of Intestinal Diseases prospective multicenter study
Post written by Tae-Geun Gweon, MD, from the Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea, Seoul, South Korea. Polypectomy is a procedure associated with a high risk of bleeding. Guidelines recommend uninterrupted aspirin use during polypectomy, whereas cessation of clopidogrel 5 to 7 days before polypectomy is recommended.1 2 The cold snare …
Comparison of postpolypectomy bleeding events between cold snare polypectomy and hot snare polypectomy for small colorectal lesions: a large-scale propensity score–matched analysis
Post written by Hiroyuki Takamaru, MD, PhD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. We analyzed more than 12,000 colorectal lesions treated by cold snare polypectomy and 2400 treated by hot snare polypectomies. The rate of postpolypectomy bleeding after cold snare polypectomy was .1% compared with .5% after hot snare polypectomy. Next, …
Evaluation of polypectomy quality indicators of large, nonpedunculated colorectal polyps in a nonexpert, bowel cancer screening cohort
Post written by Lonne W.T. Meulen, MD, from the Department of Internal Medicine, Division of Gastroenterology and Hepatology, Maastricht University Medical Center, Maastricht, The NetherlandsGROW, School for Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands. Our study aimed to provide insight into the quality of endoscopic treatment of large (≥20 mm), nonpedunculated colorectal polyps. …
A simple and cost-effective method: piecemeal cold snare polypectomy without injection for a large sessile serrated lesion ≥20 mm
Post written by Yoshiaki Kimoto, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. A flat and fold-over 25-mm lesion covered with rich mucus was pointed out at the ascending colon. We diagnosed the lesion as SSL without dysplasia. Using a 10-mm oval-type snare (SnareMaster Plus; Olympus, Tokyo, Japan), the near …
Trick for endoloop positioning before polypectomy
Darina Kohoutova, MD, PhD,(1,2) and Bjorn J. Rembacken, MD,(2) present this VideoGIE case "Trick for endoloop positioning before polypectomy by using a double-channel gastroscope." As post-polypectomy bleeding is the most common adverse event of polypectomy, various preventive techniques for how to decrease this risk have been developed for daily endoscopy practice. Placement of ligating loop …
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Polidocanol injection decreases bleeding rate after colon polypectomy
Antonio Facciorusso, MD, from the Gastroenterology Unit, Department of Medical Sciences, at the University of Foggia in Foggia, Italy discusses this Original Article, "Polidocanol injection decreases the bleeding rate after colon polypectomy: a propensity score analysis." Endoscopic mucosal resection (EMR) is frequently used for polyps over 20 mm in diameter. The technique involves the injection …
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Nonneoplastic polypectomy during screening colonoscopy
Mary A. Atia, MD, from the Department of Medicine, Division of Gastroenterology, Mayo Clinic Arizona in Scottsdale, Arizona, USA discusses this Original Article, "Nonneoplastic polypectomy during screening colonoscopy: the impact on polyp detection rate, adenoma detection rate, and overall cost." The frequency of non-neoplastic polypectomy (NNP) is tissue constituting normal colonic mucosa or lymphoid aggregates. …
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Cold snare vs cold forceps polypectomy
Bo-In Lee, MD, PhD from the Division of Gastroenterology, Department of Internal Medicine, Seoul St. Mary’s Hospital at The Catholic University of Korea in Seoul, Korea discusses this Original Article "Cold snare polypectomy versus cold forceps polypectomy for diminutive and small colorectal polyps: a randomized controlled trial." Cold snare should be considered first for the complete resection of colorectal polyp …
Successful EMR of large adenoma
Ryan Law, DO from the Department of Gastroenterology and Hepatology at Northwestern University Feinberg School of Medicine in Chicago, Illinois, USA shares this case from the VideoGIE section "Prevention of delayed perforation after resection of a massive lateral wall duodenal polyp by using an anchored, fully-covered self-expandable metal stent." This video demonstrates successful endoscopic mucosal …
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