Endoscopic scissors offer a benefit over other devices by avoiding potential complications
related to thermal and mechanical injury of surrounding structures. We describe our
experience with endoscopic scissors in three difficult endoscopic interventions. A
fishbone embedded in the esophageal wall penetrated very close to the pulsating aorta
and the bronchus. The fishbone was cut in half by endoscopic scissors and removed
without injury to adjacent organs. A gastric submucosal tumor with an insulated core
that could not be resected by electrosurgical devices was cut using endoscopic scissors
following endoloop placement. Extravascular coil migration after transcatheter arterial
embolization resulted in a duodenal ulcer. The metallic coil on the duodenal ulcer
was cut by endoscopic scissors without mechanical or thermal injury.
