Rapid upfront stalk transection for endoscopic resection of pedunculated colorectal lesions using a grasping-type scissor forceps

Zimmer, Vincent

doi:10.1055/a-1252-2680

Cited by 2 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this setting utilization of such an ESD-like procedure may result in more convincing resection below the scarring line related to previous endoscopic removal attempt. [3][4][5] How to cite this article: Zimmer V, Eltze E. Endoscopic submucosal dissection-like grasping scissor forceps resection of a pedunculated colorectal lesion with high-grade fibrosis complicating aborted hot snare polypectomy. Adv Dig Med.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic submucosal dissection‐like grasping scissor forceps resection of a pedunculated colorectal lesion with high‐grade fibrosis complicating aborted hot snare polypectomy

Zimmer

Eltze²

2021

Adv in Digestive Medicine

Self Cite

View full text Add to dashboard Cite

Hot snare polypectomy (HSP) remains the reference standard in endoscopic resection of pedunculated colorectal lesions. Notwithstanding, in some unique instances, such as giant Paris Ip lesions, difficult‐to‐access stalks and/or high‐grade fibrosis, alternative resection techniques might be more appropriate to ensure wide‐margin en bloc resection. In a unique 55‐year‐old patient office‐based HSP performed elsewhere was aborted during electrosurgical snaring due to intraprocedural bleeding complications. Due to marked ring‐like fibrosis at the base of the small‐stalked pedunculated lesion, we opted for an endoscopic submucosal dissection (ESD)‐like approach, utilizing a grasping scissor forceps device (ClutchCutter, Fuji). With a procedure time <10 min en bloc and R0 resection of a low‐grade intraepithelial neoplasia was accomplished without difficulties. To the best of our knowledge, this report is unique and altogether novel for several reasons, including abortion of preceding HSP with high‐grade fibrosis and ESD‐like grasping scissor forceps resection as an innovative endoscopic bailout in such unreported setting.

show abstract

Section: Discussionmentioning

confidence: 99%

“…By contrast, re‐resection of previously aborted snare polypectomy has, to the best of my knowledge, not been reported before. In this setting utilization of such an ESD‐like procedure may result in more convincing resection below the scarring line related to previous endoscopic removal attempt 3–5 …”

Section: Discussionmentioning

confidence: 99%

Endoscopic submucosal dissection‐like grasping scissor forceps resection of a pedunculated colorectal lesion with high‐grade fibrosis complicating aborted hot snare polypectomy

Zimmer

Eltze²

2021

Adv in Digestive Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

Advances in endoscopic therapy using grasping-type scissors forceps (with video)

Akahoshi¹,

Komori²,

Akahoshi³

et al. 2021

WJGS

View full text Add to dashboard Cite

Endoscopic submucosal dissection (ESD) is a globally accepted minimally invasive therapy for early-stage gastrointestinal tract tumors. Although numerous electrosurgical knives have been developed for ESD, technical difficulties and high complication rates (bleeding and perforation) have limited their use worldwide. The grasping-type scissors forceps [clutch cutter (CC)] is the first forceps-type resection device developed with reference to hemostatic forceps. The aim was to allow easy and safe ESD throughout the gastrointestinal tract, as a biopsy technique, using one device. The CC can grasp the target tissue accurately and pull it away from the underlying muscle layer prior to energizing the tissue, for safe and effective incision and hemostasis during ESD. Reported clinical studies showed that ESD using the CC (ESD-CC) is a safe (perforation rate: 0%-3.6%; delayed bleeding rate: 0%-4.2%), technically efficient ( en-bloc resection rate: 88.9%-100%), and single-device method for dissecting early-stage gastrointestinal tract tumors. The ESD-CC technique is simple and easy to learn because it can be completed simply by repeating the grasp, pull, and coagulate and/or incise actions using an electrosurgical current. The reported self-completion rate by non-experts was significantly better with the CC than with conventional knives (61.7% vs 24.5%, respectively; P < 0.001). Furthermore, the CC is used for other endoscopic therapies, such as endoscopic polypectomy for large pedunculated polyps, endoscopic myotomy for Zenker’s diverticulum, endoscopic treatment of buried bumper syndrome, and endoscopic necrosectomy for wall-off pancreatic necrosis. The initial reports using CC for these therapies have shown favorable results. In this review, we describe the structural features of the CC, how to use the instrument, efficacies of ESD-CC, and other unique endoscopic therapies using the CC.

show abstract

Rapid upfront stalk transection for endoscopic resection of pedunculated colorectal lesions using a grasping-type scissor forceps

Cited by 2 publications

References 5 publications

Endoscopic submucosal dissection‐like grasping scissor forceps resection of a pedunculated colorectal lesion with high‐grade fibrosis complicating aborted hot snare polypectomy

Endoscopic submucosal dissection‐like grasping scissor forceps resection of a pedunculated colorectal lesion with high‐grade fibrosis complicating aborted hot snare polypectomy

Advances in endoscopic therapy using grasping-type scissors forceps (with video)

Contact Info

Product

Resources

About