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Needle knife-assisted endoscopic polypectomy for a large inflammatory fibroid colon polyp by making its stalk into an omega shape using an endoloop

Authors
 Byung Chang Kim  ;  Jae Hee Cheon  ;  Sang Kil Lee  ;  Tae Il Kim  ;  Hoguen Kim  ;  Won Ho Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.49(4) : 680-686, 2008 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2008
MeSH
Adult ; Colectomy ; Colonic Polyps/pathology* ; Colonic Polyps/surgery* ; Colonoscopy/methods* ; Female ; Humans ; Leiomyoma/pathology ; Leiomyoma/surgery*
Keywords
Inflammatory fibroid polyp ; needle knife ; endoloop ; polypectomy
Abstract
Colonic inflammatory fibroid polyp (IFP) is an uncommon benign polypoid lesion, which is composed of fibroblasts, numerous small vessels and edematous connective tissue with marked eosinophilic inflammatory cell infiltration. This condition is frequently detected in the stomach and small intestine, but uncommon in the colon. Although IFP is a benign lesion, surgical resections are performed in most colonic cases because the polyps are usually too large to resect endoscopically. Only three patients underwent endoscopic polypectomy in our literature reviews. Here, we present a case of IFP in the descending colon successful endoscopically resected using a novel technique of trapping its stalk with an endoloop, forming the stalk into an omega shape, and then dissecting the stalk with a needle knife.
Files in This Item:
T200800475.pdf Download
DOI
10.3349/ymj.2008.49.4.680
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kim, Byung Chang(김병창)
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Kim, Hogeun(김호근)
Lee, Sang Kil(이상길) ORCID logo https://orcid.org/0000-0002-0721-0364
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106655
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