Endoscopic Treatment for Colorectal Polyps Yusuke Saitoh 1 , Masaki Taruishi 1 , Jiro Watari 2 , Yuhei Inaba 2 , Atsuo Maemoto 2 , Mikihiro Fujiya 2 , Tomoyuki Ohta 3 1Digestive Disease Center, Asahikawa City Hospital 2Third Department of Internal Medicine, Asahikawa Medical College 3Gastroenterology, Tokusyukai Sapporo East Hospital Keyword: ポリープ , 内視鏡治療 , 抗凝固剤 , 出血 , 穿孔 pp.595-601
Published Date 2006/4/24
DOI https://doi.org/10.11477/mf.1403100334
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In order to complete endoscopic treatment for colorectal polyps safely, the following issues are important. In preparation for the treatment, it is important to obtain informed consent from the patient, especially about possible complications of endoscopic treatment and to check whether anticoagulant is used or not. Regarding treatment technique, it is important to adequately ascertain the position of the lesions located at the 5 to 6 o'clock position by rotating the scope or changing the patient's position. Successful procedures for snaring, transection and retrieval can be carried out when the position of the lesions is as mentioned above. The most important thing we have to pay attention to is to prevent serious complications of endoscopic treatment such as bleeding and perforation. To prevent bleeding or to stop bleeding, injection to the stalk, detachable loop snare, hemoclip and coagulation therapy are effected. In order to prevent perforation, long-time use of electric cautery or too small an amount of submucosal injection should be avoided.

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