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Safe endoscopic polypectomy of jejunal polyps with a detachable snare during double balloon enteroscopy
  1. M Matsushita1,
  2. M Shimatani1,
  3. K Uchida1,
  4. K Okazaki1
  1. 1Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
  1. Correspondence to:
    Dr M Matsushita
    Third Department of Internal Medicine, Kansai Medical University, 2-3-1 Shinmachi, Hirakata, Osaka 573-1191, Japan; matsumit{at}hirakata.kmu.ac.jp

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We read with interest the article by Yen et al (Gut 2007;56:12) on a patient with obscure gastrointestinal bleeding in whom a juvenile polyp 1 cm in size, with a shallow ulcerated surface, was found in the jejunum on double balloon enteroscopy (DBE). Because the patient was receiving regular dialysis and because of the hypervascular nature of the polyp, it was resected surgically. In such cases, however, we believe that endoscopic polypectomy can safely be undertaken with the use of a detachable snare.

Major complications of endoscopic polypectomy are bleeding and perforation, which are most commonly associated with the removal of large polyps with thick stalks.1 For safer removal of large polyps, a detachable snare is designed for endoscopic ligation instead of a surgical suture.1 The snare is composed of …

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