Case Study
Advanced Bipolar Resection of Sigmoid Pedunculated Polyps Using SpydrBlade Flex
A 65-year-old male was referred for endoscopic evaluation following the identification of two broad-based pedunculated polyps in the sigmoid colon.
The polyps presented with lobulated pieces in a segment of colon marked by a narrow, torqued lumen, complicated by the presence of diverticula. Due to these anatomical constraints, there was significant difficulty in deploying a standard snare. The patient also had a history of coronary artery disease with a recent myocardial infarction and was maintained on antiplatelet therapy (acetylsalicylic acid).
Endoscopically, the surface of the polyps appeared eroded with signs of intermittent bleeding. Given the limited space, distorted visualisation, and elevated bleeding risk, an alternative resection method was considered to avoid piecemeal resection and potential post-procedural complications.
Dr Carsten Triller
Head Physician, Gastroenterology
Städtisches Krankenhaus Heinsberg GmbH
