Endoclip-assisted resection of large pedunculated colon polyps.
BACKGROUND
Large pedunculated colorectal polyps are often difficult to remove endoscopically.


METHODS
Four patients with giant pedunculated polyps (>3 cm) underwent an endoscopic procedure in which the polyp stalk was ligated with multiple clips and resected with a needle-knife papillotome.


RESULTS
No complications occurred either during or immediately after the procedure. Mean size of the resected polyps was 4.8 +/- 1.2 cm (range 3 to 6 cm). Mean time for the entire procedure was 31 +/- 5 minutes (range 25 to 45). No bleeding was found after a mean follow-up period of 4.3 +/- 1.1 months (range 3 to 6 months).


CONCLUSIONS
Although technical refinements are necessary to make the procedure easier and faster, this approach might represent the only option for selected patients who would otherwise need surgical resection of large pedunculated colonic polyps.
Cipolletta
L
L
Department of Gastroenterology and Digestive Endoscopy, Ospedale Maresca, Naples, Italy.
Bianco
M A
MA
Rotondano
G
G
Catalano
M
M
Prisco
A
A
De Simone
T
T
D003111:Colonic Polyps / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D020685:Colonoscopes; D003113:Colonoscopy / Q000379:methods; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods; D004869:Equipment Safety; D005260:Female; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D013525:Surgical Instruments; D016896:Treatment Outcome