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 …

Continue reading A simple and cost-effective method: piecemeal cold snare polypectomy without injection for a large sessile serrated lesion ≥20 mm

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 …

Continue reading Trick for endoloop positioning before polypectomy

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 …

Continue reading Polidocanol injection decreases bleeding rate after colon polypectomy

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. …

Continue reading Nonneoplastic polypectomy during screening colonoscopy

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 …

Continue reading Cold snare vs cold forceps polypectomy

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 …

Continue reading Successful EMR of large adenoma

Insulated-tip knife endoscopic resection

Enqiang Linghu, MD from the Chinese PLA General Hospital in Beijing, China presents this video case "Insulated-tip knife endoscopic resection of a giant pedunculated colon polyp" from the VideoGIE section. Our video introduced a novel but feasible method with insulated-tip (IT) knife to remove a giant pedunculated colon polyp. The polyp, approximately 4cmx 4cm in …

Continue reading Insulated-tip knife endoscopic resection

Cold snare polypectomy in anticoagulated patients

Akira Horiuchi, MD from Showa Inan General Hospital in Komagane, Japan writes about his Original Article "Removal of small colorectal polyps in anticoagulated patients: a prospective randomized comparison of cold snare and conventional polypectomy" from the March issue. No delayed bleeding occurred after cold snare polypectomy whereas endoscopic hemostasis for immediate and delayed bleeding was required …

Continue reading Cold snare polypectomy in anticoagulated patients