Endoscopic Combined Snare-Forceps Technique for Removing Flat Sessile Polyps.

Mark W Jones, Werner Henning

Open access · hybridAbstract read

In one paragraph

Article in Spartan medical research journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact, top 69% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Mark W JonesMcLaren Greater Lansing, Department of General Surgery, Program Director, Lansing, MI.

Werner HenningMcLaren Greater Lansing, Department of General Surgery, PGY3 Resident, Lansing, MI.

McLaren Greater Lansing · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextCurrent endoscopes have limitations during use in polypectomies. Specifically, polyps that are flat, broad-based and sessile are more difficult to resect. Routine polypectomy procedures allow one endoscopic device to be used at a time limiting the endoscopist. More advanced scopes are not readily available at smaller community hospitals, limiting the endoscopist to using the resources available to them.

methodsThe modification of the standard polypectomy method described here employs both an endoscopic forceps and an endoscopic snare to be used simultaneously during colonoscopy with a single lumen colonoscope. The forceps is introduced into the endoscope so the head is just projecting from the distal end of the scope. The snare is then placed just proximal to the head of the forceps outside of the endoscope. The endoscope is reinserted into the colon until the polyp is reached. Using the snare the polyp is elevated and then the snare secured around the base.

resultsThis resulted in easier, faster, and more complete removal of flat sessile and poorly located pedunculated polyps on the first try. This technique has been employed successfully in over 20 patients at our institution.

conclusionsThis new method adds another technique for endoscopists when presented with difficult polypectomies.

Indexed as

endoscopyforcepspolypssnare

Identifiers

PMID33655121

PMCPMC7746122

OpenAlexW3114811360

What OpenQuestion holds

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LicenceCC BY

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.