Atlas of Gastroenterological Endoscopy
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Endoloop Endoloop
Prior to resection of large pedunculated polyps an anti- hemorrhage prophylaxis is advisable. In the depicted case an Endoloop® is used. An Endoloop® is an allplastic snare, which can be put around the polyp“s stalk with an application device, which also closes the Endoloop® tightly (left). Thereafter the polyp is removed using a cautery snare. The right picture shows the stalk with the Endoloop® in place. It usually falls off after a couple of weeks and is excreted in the feces. Using the Endoloop® there is no danger of electric current being applied accidently to the clip, which is not always preventable. In this case the clip will also cut and perforations might result, if the clip is close to the colonic wall. Thus, prior to clipping the decision has to be made, whether clipping after resection is also feasable.