to resection of large pedunculated polyps an anti- hemorrhage
is advisable. In the depicted case an Endoloop® is used. An
Endoloop® is an allplastic snare, which can be put around the polyp“s stalk with
device, which also closes the Endoloop® tightly (left).
Thereafter the polyp is
removed using a cautery snare.
The right picture shows the stalk
with the Endoloop® in place. It usually falls off
after a couple of weeks and is excreted in the feces.
Using the Endoloop® there is no danger of electric current
accidently to the clip, which is not always preventable. In
this case the clip will
also cut and perforations might result, if the clip is close
to the colonic wall.
Thus, prior to clipping the decision has to be made, whether
clipping after resection is also feasable.