Novel Strategy for Pedunculated Colon Polyps after Unsuccessful Conventional Therapy

Departments of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Takamatsu, Japan Correspondence: Dr Shintaro Fujihara, Department of Gastroenterology and Neurology, Kagawa University Faculty of Medicine / Graduate School of Medicine, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa Prefecture, 761-0793 Japan. Telephone 81-87-891-2156, fax 81-87-891-2158, e-mail sannai@kms.ac.jp Received for publication March 18, 2015. Accepted March 23, 2015 To prevent postpolypectomy bleeding, proper placement of the endoloop and prophylactic clips are important (1,2). However, in cases of giant pedunculated polyps with wide stalks, endoloop placement requires proficiency, especially in the narrow lumen and against large polyp heads. Furthermore, prophylactic clips often do not effectively occlude the blood supply to these polyps, which makes them unsuitable for resection. In the present report, a strategy for this type of polyp using grasping-type scissors forceps is described. To the authors’ knowledge, the present report is the first to describe using graspingtype scissors forceps to resect a giant pedunculated polyp.