Another Use for Padlock Clip.

Awf Mouchli,Vikas Chitnavis

doi:10.7759/cureus.10656

Abstract

The novel over-the-scope Padlock clip was reported to assist in the management of esophageal fistulas, refractory gastrointestinal (GI) bleeding, and GI defects closure. A little is known about the management of non-lifting colon polyps with fibrosis secondary to prior intervention. Resection could be challenging given prior intervention. The tools used to remove such polyps are different between institutions.In this study, we describe our experience with Padlock clip in removing non-lifting colon polyp.

Highlights

A 69-year-old man is referred to our clinic to assist in the management of partially excised large, nongranular, broad-based Tubulovillous adenoma
We describe our experience with Padlock clip in removing non-lifting colon polyp
The patient underwent a surveillance colonoscopy given the personal history of colon polyps and paternal history of colorectal cancer

Summary

Introduction

A 69-year-old man is referred to our clinic to assist in the management of partially excised large, nongranular, broad-based Tubulovillous adenoma. It is reported to help in the management of refractory gastrointestinal bleeding [1], fistulas closure [2], and endoscopic full-thickness resection (EFTR) [1]. EFTR can only be used to resect polyps measuring up to 3 cm [3] To our knowledge, this is the first study describing the use of Padlock clip in the management of nonlifting colon polyp after incomplete resection using the conventional methods. The nonlifting part of the mucosal polyp was grasped with raptor grasping device and Padlock clip was deployed on the polyp (Figure 3). Repeat colonoscopy after three months showed a scar at previous polypectomy site with clean margins and no signs of recurrence (Figure 4)

Discussion

Disclosures