Endoscopic Resection of Large Polyps Using a Detachable Snare.
- Author:
Jeong Seop MOON
1
;
Kwon YOO
Author Information
1. Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Large polyp;
Resection;
Detachable snare
- MeSH:
Colonic Polyps;
Head;
Hemorrhage;
Humans;
Polyps*;
SNARE Proteins*
- From:Korean Journal of Gastrointestinal Endoscopy
2000;21(6):924-929
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Endoscopic resection of large polyps, especially pedunculated polyps with heads 1 cm or greater in diameter, is difficult because of the risk of bleeding. We used a detachable snare to reduce this complication and evaluated its safety and effectiveness. METHODS: Patients with polyps with heads 1 cm or greater in diameter were enrolled to endoscopic polypectomy with a detachable snare. Four patients with duodenal polyps and 8 patients with colonic polyps were enrolled. RESULTS: No bleeding occurred during or after polypectomy with a detachable snare. Besides pedunculated polyps, successful polypectomy was performed on flat type polyps (Yamada type I; 1 case, Yamada type II; 1 case). CONCLUSIONS: Endoscopic polypectomy with a detachable snare may be safer and effective than conventional polypectomy and its use can be applied in various types of polyps other than pedunculated one.
