Knoop Richard F, Richer-Schrag Hans-Juergen, Thimme Robert, Fischer Andreas
University Hospital Freiburg, University of Freiburg, Faculty of Medicine, Interdisciplinary Gastrointestinal Endoscopy, Department of Medicine II.
Endosc Int Open. 2017 Aug;5(8):E749-E753. doi: 10.1055/s-0043-111593. Epub 2017 Aug 7.
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 FTRD's 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.
正在接受长期抗凝治疗的结直肠息肉患者，其围介入期出血风险显著增加。这尤其适用于直径大于1厘米的息肉，对于此类息肉，可考虑使用全层切除装置（FTRD）进行内镜全层切除术（EFTR），作为传统圈套息肉切除术的替代方法。对于这些适应症，EFTR似乎优于传统技术，特别是在止血方面，因为FTRD集成的内镜下圈套夹（OTSC）可实现机械组织压迫。以下病例报告展示了这一点，该病例为一名59岁男性，因充血性心力衰竭植入了左心室辅助装置（LVAD）。他因升结肠的一个大息肉出现间歇性出血，通过使用FTRD进行EFTR成功治疗。本文还包含一段视频。
