Gastroenterology & Endoscopy

Mastering the Endoloop Technique: Tackling Thick and Long-Stalked Colon Polyps


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- Introduction to the management of colon polyps with thick and long stalks
  - Description of pedunculated polyps, specifically Paris zero ippy type with substantial stalk
  - Increased risk of bleeding during or post removal due to arteries in the stalk

- Interventions to prevent postpolipectomy bleeding
  - Mention of clipping injection and endoloop techniques
  - Possibility of using a combination of these techniques

- Explanation of endoloops and their operational difference from snares
  - Visual comparison between endoloops and snares
  - Endoloops lack the ease of opening and closing like snares

- Standard procedure for endoloop placement
  - Passing a catheter equipped with the endaloop above the polyp head
  - Incremental reveal of the loop while guiding it to encircle the polyp head

- Goal of snugly wrapping the endoloop around the polyp stalk
  - Positioning the loop about ten from the base of the stalk
  - Tightening the loop using the pushing ring or band

- Color transformation of the polyp head and commencement of resection
  - Polyp head changes to a blue or purplish hue
  - Three stages of polyp removal: firm clenching, coagulation current, and cutting current

- Caution regarding the use of clips
  - Need for vigilance to avoid complications with clips

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