Mastering the Endoloop Technique: Tackling Thick and Long-Stalked Colon Polyps

Gastroenterology & Endoscopy

- Introduction to the management of colon polyps with thick and long stalks
- Description of pedunculated polyps, specifically Paris zero ippy type with substantial stalk
- Increased risk of bleeding during or post removal due to arteries in the stalk
- Interventions to prevent postpolipectomy bleeding
- Mention of clipping injection and endoloop techniques
- Possibility of using a combination of these techniques
- Explanation of endoloops and their operational difference from snares
- Visual comparison between endoloops and snares
- Endoloops lack the ease of opening and closing like snares
- Standard procedure for endoloop placement
- Passing a catheter equipped with the endaloop above the polyp head
- Incremental reveal of the loop while guiding it to encircle the polyp head
- Goal of snugly wrapping the endoloop around the polyp stalk
- Positioning the loop about ten from the base of the stalk
- Tightening the loop using the pushing ring or band
- Color transformation of the polyp head and commencement of resection
- Polyp head changes to a blue or purplish hue
- Three stages of polyp removal: firm clenching, coagulation current, and cutting current
- Caution regarding the use of clips
- Need for vigilance to avoid complications with clips

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