Lift and ligate: A new technique to treat a bleeding polypectomy stump

Abstract

Hemorrhage after endoscopic polypectomy is a potentially serious complication. 1 Rex D Lewis B Waye J Colonoscopy and endoscopic therapy for delayed post-polypectomy hemorrhage. Gastrointest Endosc. 1992; 38: 127-129 Abstract Full Text PDF PubMed Scopus (122) Google Scholar Endoscopic placement of a detachable snare has been used successfully to both prevent and treat bleeding from polypectomy stumps. 2 Hachisu T Evaluation of endoscopic hemostasis using an improved clipping apparatus. Surg Endosc. 1988; 2: 13-17 Crossref PubMed Scopus (144) Google Scholar However, placement of a detachable snare at the base of a polyp can be technically challenging, particularly when attempted in the setting of an actively bleeding stump. 3 Hachisu T A new detachable snare for hemostasis in the removal of large polyps or other elevated lesions. Surg Endosc. 1991; 5: 70-74 Crossref PubMed Scopus (90) Google Scholar The position of the stump can make placement of the snare difficult. Incorrect placement typically is ineffective for control of bleeding because the snare slips off the stump. In this report, a modified method of placing an endoscopic detachable snare to control bleeding from a post-polypectomy stump is described.