Endoscopy 2017; 49(01): 54-58
DOI: 10.1055/s-0042-116023
Innovations and brief communications
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic resection using the Clutch Cutter and a detachable snare for large pedunculated colonic polyps

Kazuya Akahoshi
1   Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan
,
Masaru Kubokawa
1   Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan
,
Junya Gibo
1   Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan
,
Shigeki Osada
1   Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan
,
Kayo Tokumaru
1   Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan
,
Yuki Shiratsuchi
1   Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan
,
Masafumi Oya
2   Department of Pathology, Aso Iizuka Hospital, Iizuka, Japan
,
Eikichi Ihara
3   Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
,
Kazuhiko Nakamura
3   Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
› Author Affiliations
Further Information

Publication History

submitted 27 March 2016

accepted after revision 25 July 2016

Publication Date:
14 October 2016 (online)

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Abstract

Background and study aims Endoscopic snare polypectomy with prophylactic detachable snare of large pedunculated colonic polyps (PCPs) is technically demanding. To facilitate removal of such polyps, we developed endoscopic resection using the Clutch Cutter and a detachable snare (ERCCDS). This study aimed to evaluate the efficacy and safety of the procedure.

Patients and methods From April 2010 to July 2015, 14 consecutive patients who had PCPs with head > 10 mm, stalk width > 5 mm, and stalk length > 10 mm were enrolled in this single-center prospective uncontrolled study. They were treated using ERCCDS by a single endoscopist. The efficacy and safety were assessed using a database prospectively formatted from the medical records.

Results The Clutch Cutter was able to cut the distal side of the stalk an adequate distance from the detachable snare under good visual control. R0 resections were obtained in all lesions. There were no immediate or delayed complications.

Conclusions ERCCDS appears to be a safe, easy, and technically efficient method for large PCPs, although larger studies are needed to compare ERCCDS and standard resection.