Sistema Gastrointestinal e Digestivo

Abstrato

Snare Entrapment and Bleeding in Large Colonic Polyp: A Case Report

Liggi M and Mura D

Snare entrapment is an uncommon but serious complication of polypectomy and frequently requiring surgery. We report a case of snare entrapment in large bleeding sigmoid colon removed with forcep and treated with Hemospray. Non-surgical management of snare entrapment during polypectomy included the "zip-line" technique, needle-knife transection and removal of snare after use of cautery forceps in the embledded tissue. Risk factor for snare entrapment included ensnaring of excessive tissue, wrong setting of elettrosurgical unit and malignancy. Hemospray in an effective and safe method for endoscopic haemostasis of acute upper neoplastic gastrointestinal bleeding.