Newly Developed Endoscopic Treatment for Small Bowel Polyps: Cold Snare Polypectomy

Junichi Sato; Yoshiki Hirooka; Osamu Watanabe; Masanao Nakamura; Takeshi Yamamura; Kohei Funasaka; Eizaburo Ohno; Hiroki Kawashima; Ryoji Miyahara; Hidemi Goto

doi:10.2169/internalmedicine.55.6732

CASE REPORTS

Newly Developed Endoscopic Treatment for Small Bowel Polyps: Cold Snare Polypectomy

Junichi Sato, Yoshiki Hirooka, Osamu Watanabe, Masanao Nakamura, Takeshi Yamamura, Kohei Funasaka, Eizaburo Ohno, Hiroki Kawashima, Ryoji Miyahara, Hidemi Goto

Author information

Junichi Sato
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan
Yoshiki Hirooka
Department of Endoscopy, Nagoya University Hospital, Japan
Osamu Watanabe
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan
Masanao Nakamura
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan
Takeshi Yamamura
Department of Endoscopy, Nagoya University Hospital, Japan
Kohei Funasaka
Department of Endoscopy, Nagoya University Hospital, Japan
Eizaburo Ohno
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan
Hiroki Kawashima
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan
Ryoji Miyahara
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan
Hidemi Goto
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan

Keywords: small bowel, polyp, cold polypectomy, capsule endoscopy, double-balloon endoscopy, bleeding

JOURNAL OPEN ACCESS

2016 Volume 55 Issue 18 Pages 2601-2603

DOI https://doi.org/10.2169/internalmedicine.55.6732

Details

Abstract

A 72-year-old man with the history of small bowel carcinoma was diagnosed to have a sessile polyp in the jejunum during a follow-up examination. We performed double-balloon endoscopy and removed the polyp by means of cold snare polypectomy. The follow-up endoscopy showed no residual lesion. Cold snare polypectomy has been established as a safe and effective method for the endoscopic treatment of colonic polyps with a low risk of causing electrocautery burns and perforation. However, this technique has not yet been applied for small bowel lesions. This case report, for the first time, shows the feasibility of performing cold snare polypectomy for small bowel polyps.

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