title: Endoscopic resection using the Clutch Cutter and a detachable snare for large pedunculated colonic polyps.
abstract: Background and study aimsEndoscopic snare polypectomy with prophylactic detachable snare of large pedunculated colonic polyps (PCPs) is technically demanding. To facilitate removal of such polyps, we developed endoscopic resection using the Clutch Cutter and a detachable snare (ERCCDS). This study aimed to evaluate the efficacy and safety of the procedure.Patients and methodsFrom April 2010 to July 2015, 14 consecutive patients who had PCPs with head > 10 mm, stalk width > 5 mm, and stalk length > 10 mm were enrolled in this single-center prospective uncontrolled study. They were treated using ERCCDS by a single endoscopist. The efficacy and safety were assessed using a database prospectively formatted from the medical records.ResultsThe Clutch Cutter was able to cut the distal side of the stalk an adequate distance from the detachable snare under good visual control. R0 resections were obtained in all lesions. There were no immediate or delayed complications.ConclusionsERCCDS appears to be a safe, easy, and technically efficient method for large PCPs, although larger studies are needed to compare ERCCDS and standard resection.
authors.affiliation: Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan.
authors.forename: Kazuya
authors.initials: K
authors.lastname: Akahoshi
authors.affiliation: Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan.
authors.forename: Masaru
authors.initials: M
authors.lastname: Kubokawa
authors.affiliation: Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan.
authors.forename: Junya
authors.initials: J
authors.lastname: Gibo
authors.affiliation: Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan.
authors.forename: Shigeki
authors.initials: S
authors.lastname: Osada
authors.affiliation: Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan.
authors.forename: Kayo
authors.initials: K
authors.lastname: Tokumaru
authors.affiliation: Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Shiratsuchi
authors.affiliation: Department of Pathology, Aso Iizuka Hospital, Iizuka, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Oya
authors.affiliation: Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors.forename: Eikichi
authors.initials: E
authors.lastname: Ihara
authors.affiliation: Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Nakamura
mesh_terms: D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D003111:Colonic Polyps / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008202:Lymphangioma / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011446:Prospective Studies; D047368:Tumor Burden