Various applications of endoscopic scissors in difficult endoscopic interventions

Area of Science:

• Gastroenterology and Endoscopy
• Minimally Invasive Surgery

Background:

• Traditional endoscopic interventions often carry risks of thermal or mechanical injury to delicate surrounding structures.
• Complex cases, such as deeply embedded foreign bodies or difficult-to-resect tumors, pose significant challenges for standard endoscopic tools.

Observation:

• This study details the application of endoscopic scissors in three distinct, challenging endoscopic scenarios.
• Case 1: A fishbone penetrating the esophageal wall near the aorta and bronchus.
• Case 2: A gastric submucosal tumor with an insulated core, unresectable by electrosurgery.
• Case 3: Migrated transcatheter arterial embolization coil causing a duodenal ulcer.

Findings:

• Endoscopic scissors were utilized to safely cut a fishbone in the esophagus, avoiding injury to the aorta and bronchus.
• A gastric submucosal tumor with an insulated core was successfully resected after endoscopic scissors facilitated cutting following endoloop placement.
• A migrated metallic coil in a duodenal ulcer was precisely cut using endoscopic scissors, preventing further mechanical or thermal damage.

Implications:

• Endoscopic scissors represent a valuable tool for managing complex gastrointestinal foreign bodies and lesions, offering enhanced safety.
• This device provides a viable alternative to electrosurgical methods, mitigating risks of thermal injury in sensitive anatomical locations.
• The successful application in diverse challenging cases suggests broad utility for endoscopic scissors in advanced endoscopic procedures.