Endoscopy 2018; 50(03): 253-258
DOI: 10.1055/s-0043-122387
Innovations and brief communications
© Georg Thieme Verlag KG Stuttgart · New York

Multiband mucosectomy for the treatment of challenging non-pedunculated colorectal polyps

Joaquín Rodríguez-Sánchez
Gastrointestinal Endoscopy Unit, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
,
Eva De la Santa Belda
Gastrointestinal Endoscopy Unit, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
,
Pilar Olivencia Palomar
Gastrointestinal Endoscopy Unit, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
,
Margarita Úbeda Muñoz
Gastrointestinal Endoscopy Unit, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
,
José Olmedo Camacho
Gastrointestinal Endoscopy Unit, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
› Author Affiliations
Further Information

Publication History

submitted 23 June 2017

accepted after revision 26 September 2017

Publication Date:
14 December 2017 (eFirst)

Abstract

Background and study aims Endoscopic mucosal resection is the gold standard treatment for non-pedunculated colorectal polyps; however, some specific situations (location behind folds, scarred or flat morphology) can make this technique challenging. We aimed to assess the efficacy and safety of multiband mucosectomy (MBM) for resection of non-pedunculated colorectal polyps.

Patients and methods This was a retrospective study of patients in whom MBM was performed to resect large non-pedunculated colorectal polyps. All procedures were carried out using the Shooter multiband ligator kit (Cook Medical, Limerick, Ireland). A 3-month follow-up colonoscopy was performed in all patients.

Results 10 patients underwent MBM for resection of 10 large (median 33.5 mm) non-pedunculated polyps. A total of 45 MBM sessions were carried out to resect all of the lesions using on average one rubber band per 1.5 cm2 of resected tissue. Complete resection was possible in 9 out of 10 lesions, although en bloc resection was only feasible in one lesion. Follow-up colonoscopy revealed residual adenoma in just one patient. No major complications were registered.

Conclusions In this small series of patients, MBM proved to be a safe and effective endoscopic resection technique for challenging non-pedunculated colorectal polyps.