Korean J Gastrointest Endosc > Volume 31(3); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(3): 185-188.
낚싯줄로 만든 수제 박리성 올가미를 이용한 용종제거술 1예
나종천·이종성·김영관·이진광·김성은·류수형·이정환·김유선·문정섭
인제대학교 의과대학 서울백병원 내과학교실
A Case of Endoscopic Polypectomy Using a Hand-Made Detachable Snare Made of Nylon Fishing Line
Jong Chun Nah, M.D., Jong Sung Lee, M.D., Young Kwan Kim, M.D., Jin Kwang Lee, M.D., Seong Eun Kim, M.D., Soo Hyung Ryu, M.D., Jung Whan Lee, M.D.,You Sun Kim, M.D. and Jeong Seop Moon, M.D.
Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
Abstract
Hemorrhage is the most common complication of polypectomy. Though most bleeding stops spontaneously and can be managed with conservative therapies, some may necessitate intensive therapies. The detachable snare was firstly introduced in 1986. It has been reported that the use of detachable snare can effectively prevent both immediate and delayed bleeding. The detachable snare has been reformed, and now a commercial article is used in practice. But, it is expensive and cannot be used in larger polyps measuring over its fixed size of loop. A hand-made detachable snare made of nylon fishing line was introduced to prevent postpolypectomy bleeding in 2003. We have further improved it and experienced a case of successful removal of a large colonic polyp using our hand-made snare. The hand-made detachable snare is inexpensive and seems to be practical in ligating the polyp regardless of its size. (Korean J Gastrointest Endosc 2005;31:185⁣188)
Key Words: Colon polyp, Detachable snare, Polypectomy
주요어: 대장 용종, 박리성 올가미, 용종제거술
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