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Laparoscopic bowel mobilization combined with intraoperative colonoscopic polypectomy in patients with an inaccessible polyp of the colon

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Abstract

Background: The purpose of this report was to describe a simple technique suitable for polyps where circumstances of the bowel anatomy prevent complete access and control of the colonoscopic procedure.

Methods: By combining laparoscopic mobilization of the bowel with colonoscopic polypectomy, previously inaccessible polyps could be snared in two patients.

Results: Both patients had 3-cm large sessile adenomas in the sigmoid colon safely removed, and they returned home within a day.

Conclusions: The described procedure increases the safety of the otherwise difficult polypectomy and also avoids laparotomy with enterotomy or bowel resection as the alternative.

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Authors and Affiliations

  1. Department of Surgery, Central Hospital, Central Hospital, S-721 89 Västerås, Sweden, Sweden

    K. Smedh

  2. Department of Surgery, Colorectal Unit, University Hospital, Linköping, Sweden, Sweden

    S. Skullman, A. Kald, B. Anderberg & P.-O. Nyström

Authors
  1. K. Smedh
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  2. S. Skullman
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  3. A. Kald
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  4. B. Anderberg
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  5. P.-O. Nyström
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Received: 5 May 1996/Accepted: 19 September 1996

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Smedh, K., Skullman, S., Kald, A. et al. Laparoscopic bowel mobilization combined with intraoperative colonoscopic polypectomy in patients with an inaccessible polyp of the colon. Surg Endosc 11, 643–644 (1997). https://doi.org/10.1007/s004649900411

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  • DOI: https://doi.org/10.1007/s004649900411

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