A case of endoloop assisted polypectomy in colon

Öz

Postpolypectomy bleeding is reported to occur in 2% of all polypectomies. The risk of bleeding is probably greater with large polyps that have thick stalks. The use of an Endoloop may minimize the risk of bleeding after endoscopic polypectomy of large colorectal polyps. We report a case of a 66-year-old male with Endoloop-assisted polypectomy for a large polyp in the descending colon.

Anahtar Kelimeler

• Endoloop-assisted polypectomy, large colon polyp, endoscopic polypectomy

Kolonda endoloop yardımıyla polipektomi

Öz

Polipektomi sonrası kanama tüm polipektomilerin %2'sinde ortaya çıkabilir. Kanama riski muhtemelen kalın gövdeli büyük poliplerde daha fazladır. Endoloopun kullanılması büyük kolorektal poliplerin endoskopik polipektomiden sonra kanama riskini düşürebilir. Biz bu yazıda, inen kolondaki büyük polipin komplikasyonsuz olarak endoloop yardımıyla polipektomisini yaptığımız 66 yaşındaki erkek olguyu sunuyoruz.

Anahtar Kelimeler

• Endoloop yard&#8250,m&#8250,yla polipektomi, büyük kolon polipi, endoskopik polipektomi

Kaynakça

1. Katsinelos P, Kountouras J, Paroutoglou G, et al. Endoloop-assis- ted polypectomy for large pedunculated colorectal polyps. Surg Endosc 2006; 20: 1257-61.
2. Akahoshi K, Kojima H, Fujimaru T, et al. Grasping forceps assisted endoscopic resection of large pedunculated GI polypoid lesions. Gastrointest Endosc 1999; 50: 95–8.
3. Brandimarte G, Tursi A. Endoscopic snare excision of large pedun- culated colorectal polyps: a new, safe, and effective technique. Endoscopy 2001; 33: 854-7.
4. Cipolletta L, Bianco MA, Rotondano G, et al. Endoclip-assisted re- section of large pedunculated colon polyps. Gastrointest Endosc 1999; 50: 405–6.
5. Adams TL, Benjamin SB. Complications of Gastrointestinal Endos- copy. In: Gastrointestinal Disease: An endoscopic approach. Eds. A J DiMarino, S B Benjamine. Slack incorp., NJ, Second ed, 2002; 39- 85.
6. Rosen L, Bub DS, Reed JF III, Nastasee SA. Hemorrhage following colonoscopic polypectomy. Dis Colon Rectum 1993; 36: 1126–31.
7. Fruhmorgen P, Demling L. Complications of diagnostic and thera- peutic colonoscopy in the Federal Republic of Germany: results of an inquiry. Endoscopy 1979; 11: 146-50.
8. Iishi H, Tatsuta M, Narahara H, et al. Endoscopic resection of lar- ge pedunculated colorectal polyps using a detachable snare. Gast- rointest Endosc 1996; 44: 594-7.

9. Matsushita M, Hajiro K, Takakuwa H, et al. Ineffective use of a detachable snare for colonoscopic polypectomy of large polyps. Gastrointest Endosc 1998; 47: 496-9.
10. Katsinelos P, Kountouras J, Paroutoglou G, et al. Endoscopic mu- cosal resection of large sessile colorectal polyps with submucosal injection of hypertonic 50-percent dextroseepinephrine solution. Dis Colon Rectum 2006; 49: 1384-92.