Small Bowel Polypectomy: Tips and Tricks

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Small bowel polyps are common, affecting about 10% of patients undergoing small bowel endoscopy. Most polyps can be reached via the oral route, as 70% are in the jejunum. Polypectomy of the small bowel is more...

• Small bowel polyps are common, affecting about 10% of patients undergoing small bowel endoscopy.
• Most polyps can be reached via the oral route, as 70% are in the jejunum.
• Polypectomy of the small bowel is more challenging, requiring advanced techniques and careful handling to minimize risks.
• Device-assisted enteroscopy, including motorized spiral, can be used for treatment.
• Tips and tricks for small bowel polypectomy, such as stabilizing the scope, using specific utensils, and creating submucosal cushions, are essential for successful procedures.
• Various resection techniques, including EMR, injection-assisted polypectomy, and cold snare polypectomy, are employed based on the characteristics of the lesions.
• Complications, such as bleeding, are managed using techniques like electrocoagulation, argon plasma coagulation, and the application of clips.