Endoclip-Assisted Resection of Large Pedunculated Colorectal Polyps: Technical Aspects and Outcome

Luigiano, Carmelo; Ferrara, Francesco; Ghersi, Stefania; Fabbri, Carlo; Cennamo, Vincenzo; Landi, Patrizia; Polifemo, Anna Maria; Billi, Paola; Bassi, Marco; Consolo, Pierluigi; Alibrandi, Angela; D’Imperio, N.

doi:10.1007/s10620-009-0905-2

Cited by 55 publications

(34 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is similar to study of Bafandeh et al (2008), Mirzaie et al (2012) and Hodadoostan et al (2010) in which they found rectum and sigmoid together the most common site of the lesions in Iranian patients with colon polyps. The same finding also observed in other studies in western countries by Zois et al (2011) and Luigiano et al (2010). In this study most prevalent type of polyps was adenomatous 78(34.7%).…”

Section: Discussionsupporting

confidence: 92%

Prevalence and Characteristics of Colorectal Polyps in Symptomatic and Asymptomatic Iranian Patients Undergoing Colonoscopy from 2009-2013

Iravani

Kashfi²,

Azimzadeh³

et al. 2014

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Background: Colorectal cancer is the third most common type of cancer in males and the second in females in Iran. Males are more likely to develop CRC than women and age is considered as a main risk factor for colorectal cancer. Prevalence of colorectal cancer has been increasing in Asian countries. Aim: The object of this study was to determine the clinical and pathology characteristics of colorectal polyps in Iranian patients and to investigate the variation between our populations with other populations. Materials and Methods: A total of 167 patients with colorectal polyps were included in our study. All underwent colonoscopy during 2009-2013 and specimens were taken through polypectomy and transferred to pathology. All data in patient files including pathology reports were collected and analyzed by SPSS 16 software. A two-tailed test was used and a P-value of < 0.05 was considered significant. Results: Mean age of participants was 57±15. Some 84 were females (50.3%) and 83 males (49.7%). Total of 225 polyps were detected which 119 (52.9%) were in males and 106 (47.1%) were in females. Solitary polyps were observed in 124 patients (74%), 26 (15.6%) had two polyps and 17 (10.1%) with more than two polyps (three to five). Rectosigmoid was the site of most of the polyps (63.1%), followed by 19.6% in the descending colon, 7.6% in the transverse, 5.8% in the ascending, and 3.1% in the cecum, data being missing in two cases. Conclusions: Recto sigmoid was site of most of the polyps. The most prevalent type of lesion was adenomatous polyps detected in 78 (34.7%). Mixed hyperplastic adenomatous type observed in 70 (31.1%). This high prevalence of adenomatous polyps in Iranian patients implies the urgent need for screening plans to prevent further healthcare problems with colorectal cancer in the Iranian population.

show abstract

Section: Discussionsupporting

confidence: 92%

Prevalence and Characteristics of Colorectal Polyps in Symptomatic and Asymptomatic Iranian Patients Undergoing Colonoscopy from 2009-2013

Iravani

Kashfi²,

Azimzadeh³

et al. 2014

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…8). [47][48][49] These nylon loops come in a preloaded sheath, which is placed through the endoscope working channel. They are mechanistically similar to standard polypectomy snares except that once deployed they remain around the target lesion and are no longer attached to the sheath.…”

Section: Detachable Snaresmentioning

confidence: 99%

Mechanical Hemostasis Techniques in Nonvariceal Upper Gastrointestinal Bleeding

Brock

Rockey

2015

Gastrointestinal Endoscopy Clinics of North America

View full text Add to dashboard Cite

“…Various endoscopic techniques have been developed to prevent postpolypectomy bleeding; these include the administration of a submucosal injection with an epinephrine solution (1:10000) in the base of any polyps, argon plasma coagulation, or mechanical hemostasis (using a detachable snare and/or endoscopic clip) [8], [9], [10]. The hemostatic effect of epinephrine has been widely demonstrated and it is often used to prevent bleeding following colonic polypectomy and enhancing complete resection, especially in large sessile polyps [11], [12].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of submucosal epinephrine injection for the prevention of postpolypectomy bleeding: A meta-analysis of randomized controlled studies

Tullavardhana

Akranurakkul

Ungkitphaiboon

et al. 2017

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

BackgroundBleeding is the most common major complication following colonoscopic polypectomy. The purpose of this study is to evaluate whether submucosal epinephrine injections could prevent the occurrence of postpolypectomy bleeding.MethodThe dataset was defined by searching PubMed, EMBASE, Google Scholar, and the Cochrane database for appropriate randomized controlled studies published before April 2015. A meta-analysis was conducted to investigate the preventative effect of submucosal epinephrine injection for overall, early, and delayed postpolypectomy bleeding.ResultsThe final analysis examined the findings of six studies, with data from 1388 patients. The results demonstrated that prophylactic treatment with epinephrine injection significantly reduced the occurrence of overall (OR = 0.38, 95% CI: 0.21, 0.66; p = 0.0006) and early bleeding (OR = 0.38, 95% CI: 0.20, 0.69; p = 0.002). However, for delayed bleeding complications, epinephrine injections were not found to be any more effective than treatment with saline injection or no injection (OR = 0.45, 95% CI: 0.11, 1.81; p = 0.26). Moreover, for patients with polyps larger than 20 mm, mechanical hemostasis devices (endoloops or clips) were found to be more effective than epinephrine injection in preventing overall bleeding (OR = 0.33, 95% CI: 0.13, 0.87; p = 0.03) and early bleeding (OR = 0.29, 95% CI: 0.08, 1.02; p = 0.05). This was not established for delayed bleeding.ConclusionThe routine use of prophylaxis submucosal epinephrine injection is safe and beneficial preventing postpolypectomy bleeding.

show abstract

Endoclip-Assisted Resection of Large Pedunculated Colorectal Polyps: Technical Aspects and Outcome

Abstract: In our experience, endoclip-assisted resection is a safe alternative to endoloop for the resection of large pedunculated colorectal polyps when endoloop placement is difficult or impossible.

Cited by 55 publications

References 20 publications

Prevalence and Characteristics of Colorectal Polyps in Symptomatic and Asymptomatic Iranian Patients Undergoing Colonoscopy from 2009-2013

Prevalence and Characteristics of Colorectal Polyps in Symptomatic and Asymptomatic Iranian Patients Undergoing Colonoscopy from 2009-2013

Mechanical Hemostasis Techniques in Nonvariceal Upper Gastrointestinal Bleeding

Efficacy of submucosal epinephrine injection for the prevention of postpolypectomy bleeding: A meta-analysis of randomized controlled studies

Contact Info

Product

Resources

About