Related Experiment Video
Updated: Feb 24, 2026
Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device
Published on: November 4, 2022
Use of the full-thickness resection device (FTRD) to prevent bleeding after colonic polypectomy in a patient with a
Richard F Knoop1, Hans-Juergen Richer-Schrag1, Robert Thimme1
1University Hospital Freiburg, University of Freiburg, Faculty of Medicine, Interdisciplinary Gastrointestinal Endoscopy, Department of Medicine II.
Abstract:
Background and study aims Treatment of colorectal polyps in patients undergoing permanent anticoagulation is associated with a significantly increased risk of peri-interventional bleeding. This specifically applies to polyps > 1 cm where endoscopic full-thickness resection (EFTR) with the full-thickness-resection device (FTRD) can be taken into consideration as an alternative approach to classical snare polypectomy. For these indications, EFTR appears to be superior to conventional techniques especially in terms of sufficient hemostasis due to the mechanical tissue compression achieved by the FTRD's integrated Over-The-Scope Clip (OTSC). This is demonstrated in the following case report of a 59-year-old male with a left ventricular assist device (LVAD) implanted due to congestive heart failure. He presented with intermittent hemorrhage from a large polyp in the ascending colon that was successfully treated via EFTR with the FTRD. A video is included.
