Use of the full-thickness resection device (FTRD) to prevent bleeding after colonic polypectomy in a patient with a left ventricular assist device
Background and study aims Treatment of colorectal polyps in patients undergoing permanent anticoagulation is associated with a significantly increased risk of peri-interventional bleeding. This specifically applies to polyps > 1 cm where endoscopic full-thickness resection (EFTR) with the full-th...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2017-08-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-111593 |
| _version_ | 1819176124602646528 |
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| author | Richard F. Knoop Hans-Juergen Richer-Schrag Robert Thimme Andreas Fischer |
| author_facet | Richard F. Knoop Hans-Juergen Richer-Schrag Robert Thimme Andreas Fischer |
| author_sort | Richard F. Knoop |
| collection | DOAJ |
| description | Background and study aims Treatment of colorectal polyps in patients undergoing permanent anticoagulation is associated with a significantly increased risk of peri-interventional bleeding. This specifically applies to polyps > 1 cm where endoscopic full-thickness resection (EFTR) with the full-thickness-resection device (FTRD) can be taken into consideration as an alternative approach to classical snare polypectomy. For these indications, EFTR appears to be superior to conventional techniques especially in terms of sufficient hemostasis due to the mechanical tissue compression achieved by the FTRDʼs integrated Over-The-Scope Clip (OTSC). This is demonstrated in the following case report of a 59-year-old male with a left ventricular assist device (LVAD) implanted due to congestive heart failure. He presented with intermittent hemorrhage from a large polyp in the ascending colon that was successfully treated via EFTR with the FTRD. A video is included. |
| first_indexed | 2024-12-22T21:05:47Z |
| format | Article |
| id | doaj.art-b83e2831663349afbecb9f1427d674ab |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-22T21:05:47Z |
| publishDate | 2017-08-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-b83e2831663349afbecb9f1427d674ab2022-12-21T18:12:42ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362017-08-010508E749E75310.1055/s-0043-111593Use of the full-thickness resection device (FTRD) to prevent bleeding after colonic polypectomy in a patient with a left ventricular assist deviceRichard F. Knoop0Hans-Juergen Richer-Schrag1Robert Thimme2Andreas Fischer3University Hospital Freiburg, University of Freiburg, Faculty of Medicine, Interdisciplinary Gastrointestinal Endoscopy, Department of Medicine IIUniversity Hospital Freiburg, University of Freiburg, Faculty of Medicine, Interdisciplinary Gastrointestinal Endoscopy, Department of Medicine IIUniversity Hospital Freiburg, University of Freiburg, Faculty of Medicine, Interdisciplinary Gastrointestinal Endoscopy, Department of Medicine IIUniversity Hospital Freiburg, University of Freiburg, Faculty of Medicine, Interdisciplinary Gastrointestinal Endoscopy, Department of Medicine IIBackground and study aims Treatment of colorectal polyps in patients undergoing permanent anticoagulation is associated with a significantly increased risk of peri-interventional bleeding. This specifically applies to polyps > 1 cm where endoscopic full-thickness resection (EFTR) with the full-thickness-resection device (FTRD) can be taken into consideration as an alternative approach to classical snare polypectomy. For these indications, EFTR appears to be superior to conventional techniques especially in terms of sufficient hemostasis due to the mechanical tissue compression achieved by the FTRDʼs integrated Over-The-Scope Clip (OTSC). This is demonstrated in the following case report of a 59-year-old male with a left ventricular assist device (LVAD) implanted due to congestive heart failure. He presented with intermittent hemorrhage from a large polyp in the ascending colon that was successfully treated via EFTR with the FTRD. A video is included.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-111593 |
| spellingShingle | Richard F. Knoop Hans-Juergen Richer-Schrag Robert Thimme Andreas Fischer Use of the full-thickness resection device (FTRD) to prevent bleeding after colonic polypectomy in a patient with a left ventricular assist device Endoscopy International Open |
| title | Use of the full-thickness resection device (FTRD) to prevent bleeding after colonic polypectomy in a patient with a left ventricular assist device |
| title_full | Use of the full-thickness resection device (FTRD) to prevent bleeding after colonic polypectomy in a patient with a left ventricular assist device |
| title_fullStr | Use of the full-thickness resection device (FTRD) to prevent bleeding after colonic polypectomy in a patient with a left ventricular assist device |
| title_full_unstemmed | Use of the full-thickness resection device (FTRD) to prevent bleeding after colonic polypectomy in a patient with a left ventricular assist device |
| title_short | Use of the full-thickness resection device (FTRD) to prevent bleeding after colonic polypectomy in a patient with a left ventricular assist device |
| title_sort | use of the full thickness resection device ftrd to prevent bleeding after colonic polypectomy in a patient with a left ventricular assist device |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-111593 |
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