Year 2024 / Volume 116 / Number 6
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Underwater polypectomy at the appendiceal orifice in a patient on anticoagulation

332-333

DOI: 10.17235/reed.2023.9842/2023

Andrés Fernando Yépez Carpio, Cristina Nathaly Zambrano Rosero, Ronald Eugenio Cedeño Muñoz,

Abstract
A 78-year-old male on warfarin for deep venous thrombosis is referred to us for resection of a sessile polyp in the cecum. A high-definition Fujifilm BL-7000 processor, virtual chromoendoscopy, and EC-760ZP-V/L magnifying endoscope were used. Diathermy source, ERBE VIO 3. Auto cut mode, Effect 5, 80 watts, and Soft coagulation mode, Effect 5, 60 watts. Underwater polypectomy ensued with resection in two fragments. The resection bed was invaginated into the appendiceal orifice, hence no other measures were considered to prevent delayed bleeding. No complications were reported. The histopathological study found a tubulovillous adenoma with lesion-free borders.
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References
1. Amini A. et al. “Obscure” Appendiceal Orifice Polyps Can Be Challenging to Identify by Colonoscopy, Case Rep Gastroenterol 2020;14:15–26 doi.org/10.1159/000505482
2. Yu, Allen R. BSc1; Dedecker, Lauren C. BSc2; Ortizo, Ronald D. MD1; Patel, Anish H. MD2; Thieu, Daniel T. BSc1; Paiji, Christopher MD3; Snyder, Adam J. MD1; Samarasena, Jason B. MD1. Endoscopic Removal of an Appendiceal Orifice Polyp Using Double Forceps: 2104. American Journal of Gastroenterology 112():p S1165,S1167-S1168, October 2017
3. Sundaram S, Seth V, Jearth V, Giri S. Underwater versus conventional endoscopic mucosal resection for sessile colorectal polyps: an updated systematic review and meta-analysis. Rev Esp Enferm Dig. 2023 May;115(5):225-233. doi: 10.17235/reed.2022.8956/2022. PMID: 36148677
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Yépez Carpio A, Zambrano Rosero C, Cedeño Muñoz R. Underwater polypectomy at the appendiceal orifice in a patient on anticoagulation. 9842/2023


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Publication history

Received: 14/07/2023

Accepted: 24/08/2023

Online First: 29/09/2023

Published: 04/06/2024

Article Online First time: 77 days

Article editing time: 326 days


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