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, …
Tag: polypectomy
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 …
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 …
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 …
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 …
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
endoscopedia.com 