| Theme | Update on Management of Colorectal Polyp | |
|---|---|---|
| Title | Endoscopic Resection for Large Pedunculated Polyps | |
| Publish Date | 2019/08 | |
| Author | Takashi Muramoto | Department of Gastroenterology, NTT Medical Center Tokyo |
| Author | Ken Ohata | Department of Gastroenterology, NTT Medical Center Tokyo / Department of Endoscopy, NTT Medical Center Tokyo |
| Author | Maiko Takita | Department of Gastroenterology, NTT Medical Center Tokyo |
| Author | Yohei Minato | Department of Gastroenterology, NTT Medical Center Tokyo |
| Author | Eiji Sakai | Department of Gastroenterology, NTT Medical Center Tokyo |
| Author | Nobuyuki Matsuhashi | Department of Gastroenterology, NTT Medical Center Tokyo |
| [ Summary ] | Endoscopic treatment for pedunculated polyps is mainly polypectomy. It is important to prevent arterial bleeding after resection because an artery often runs near the site. Resection in coagulation mode and using clips or detachable snares before resection enables the doctor to remove the lesion safety without bleeding. For large lesions that are difficult to snare, endoscopic submucosal resection (ESD) can safely and reliably remove the polyp. To remove the lesions without bleeding, it is necessary to recognize the characteristics and technique of endoscopic resection for large pedunculated polyps. | |