BACKGROUND: The purpose of this report was to describe a simple technique suitable for polyps where circumstances of the bowel anatomy prevent complete access and control of the colonoscopic procedure. METHODS: By combining laparoscopic mobilization of the bowel with colonoscopic polypectomy, previously inaccessible polyps could be snared in two patients. RESULTS: Both patients had 3-cm large sessile adenomas in the sigmoid colon safely removed, and they returned home within a day. CONCLUSIONS: The described procedure increases the safety of the otherwise difficult polypectomy and also avoids laparotomy with enterotomy or bowel resection as the alternative.
BACKGROUND: The purpose of this report was to describe a simple technique suitable for polyps where circumstances of the bowel anatomy prevent complete access and control of the colonoscopic procedure. METHODS: By combining laparoscopic mobilization of the bowel with colonoscopic polypectomy, previously inaccessible polyps could be snared in two patients. RESULTS: Both patients had 3-cm large sessile adenomas in the sigmoid colon safely removed, and they returned home within a day. CONCLUSIONS: The described procedure increases the safety of the otherwise difficult polypectomy and also avoids laparotomy with enterotomy or bowel resection as the alternative.
Authors: Lena Hauenschild; Franz Georg Bader; Tilman Laubert; Ralf Czymek; Philipp Hildebrand; Uwe Johannes Roblick; Hans-Peter Bruch; Lutz Mirow Journal: Int J Colorectal Dis Date: 2009-03-13 Impact factor: 2.571