Endoscopic resection of a giant pedunculated polyp using scissor-type forceps.
Endoscopic resection of a giant pedunculated polyp using scissor-type forceps.
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使用剪刀型镊子内窥镜切除巨大的带蒂息肉。
DOI：
10.1055/s-0034-1365381
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发表时间：
2014
期刊：
影响因子：
9.3
通讯作者：
Harada M.
中科院分区：
文献类型：
--
作者：
Kume K;Takahashi S;Kumamoto K;Watanabe T;Yoshikawa I;Harada M.
一名 83 岁男性因腹部饱胀感就诊，接受结肠镜检查。乙状结肠内发现两个带蒂息肉，口腔侧的一个约20mm，肛门侧的一个是近乎肠腔直径的巨大病灶（●“图1a）。判断后者很难通过圈套进行息肉切除。因此，采用以下步骤将两个息肉切除。将末端罩放在内窥镜上，并用多个夹子将其切除。放置在茎基部周围以阻止血流（●“图 1 b）。接下来，我们用SB刀Jr（MD-47703; Sumitomo Bakelite，秋田，日本）抓住息肉头部向前拉动息肉柄（●“图1 c），将其拉入末端罩（●”图1 d），并进行电切直至息肉可以切除（●“图1 e）。采用内切模式进行息肉切除120W，软凝模式80W进行止血治疗。
An 83-year-old man presented with a feeling of abdominal fullness and underwent colonoscopy. Two pedunculated polyps were identified in the sigmoid colon: the one on the oral side was about 20mm, while that on the anal side was a giant lesion nearly as large as the diameter of the bowel lumen (●" Fig. 1 a). It was judged to be difficult to perform polypectomy by snaring the latter polyp. Both polyps were therefore resected employing the following procedure. The end hood was placed on the scope, and multiple clips were placed around the base of the stalk to block blood flow (●" Fig. 1 b). Next, we pulled forward the stalk of the polyp by grasping the head of the polyp with the SB knife Jr (MD-47703; Sumitomo Bakelite, Akita, Japan)(●" Fig. 1 c), pulling it into the end hood (●" Fig. 1 d), and performing electric incision until the polyp could be resected (●" Fig. 1 e). Stalk excision was performed with endocut mode 120W. Hemostatic treatment was performed with soft coagulation mode 80 W.