ENDOSCOPIC RESECTION OF LARGE COLORECTAL POLYPS USING A CLIPPING METHOD

被引：62

作者：

IIDA, Y ^{[1
]}

MIURA, S ^{[1
]}

MUNEMOTO, Y ^{[1
]}

KASAHARA, Y ^{[1
]}

ASADA, Y ^{[1
]}

TOYA, D ^{[1
]}

FUJISAWA, M ^{[1
]}

机构：

[1] FUKUI KEN SAISEIKAI HOSP,DEPT INTERNAL MED,FUKUI,JAPAN

来源：

DISEASES OF THE COLON & RECTUM | 1994年 / 37卷 / 02期

关键词：

CLIP; COLONOSCOPIC POLYPECTOMY; COMPLICATIONS OF COLONOSCOPY; COLONOSCOPIC SURVEILLANCE;

D O I：

10.1007/BF02047544

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

PURPOSE: In conventional endoscopic snare polypectomy, bleeding and perforation are the principal concerns. To prevent these complications, we employ an endoscopic clipping technique using the HX-3L clipping apparatus. METHODS: With this method, clips are used to clamp the base of a polyp. A snare is hung peripheral to the clips. The polyp is then resected by coagulating and cutting with an electric current. RESULTS: Neither bleeding nor perforation during or after polypectomy has occurred, nor have complications related to the use of clips developed. Gigantic polyps were not resected piecemeal, but rather were resected en bloc facilitating a clear determination of cancer on the surface of the resected site. Endoscopic clipping permitted site marking for colonoscopic surveillance. CONCLUSION: We conclude that the clipping method has many advantages and is a useful technique in colonoscopic polypectomy.

引用

页码：179 / 180

页数：2