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Needle knife-assisted polypectomy in hot snare-resistant fibrotic inflammatory ...
Wu,Xian-rui; Liu,Xiu-li; Shen,BoBACKGROUND: Inflammatory polyps are common sequelae in patients with inflammatory bowel diseases (IBD). Those polyps can usually be removed with snare polypectomy. There were limited data evaluating the management of hot snare-resistant inflammatory polyps.METHODS: We reported on two cases with hot snare-resistant inflammatory polyps, one was a Crohn's disease (CD) patient with the polyp at the ileo-colonic ana...
Successful endoscopic treatment of fecalith blocking sinus in a patient with il...
Ma,Jessica; Zhang,Brook; Wu,Xian-rui; Shen,BoBackground: Ulcerative colitis patients who underwent restorative proctocolectomy with ileal pouch-anal anastomosis can develop various mechanical complications. Among them is presacral sinus resulting from chronic anastomotic leak. Methods: We present a symptomatic patient with a large fecalith blocking the sinus which was successfully treated with Doppler ultrasound guided endoscopic needle knife sinusotomy a...
Endoscopic management of anastomotic bleeding in the ileal pouch with staples r...
Wu,Xian-rui; Lan,Nan; Shen,BoOBJECTIVE: Postoperative pouch bleeding is a rare but detrimental complication following ileal pouch surgery. It is usually self-limited, however continuous bleeding requires intervention. There is limited published data on its management. DESIGN: Ileoscopy via stoma for loop ileostomy and pouchoscopy via anus for ileal pouch were performed under sedation for the purpose of diagnosis and management of postopera...
Management of ileal pouch prolapse with endoscopic hot snare
Wu,Xian-rui; Liu,Xiu-li; Lan,Nan; Shen,BoPouch prolapse is a complication following the creation of restorative proctocolectomy. There is a paucity of information in the literature pertaining to its management. An ileal J pouch patient with dyschezia presented to our Pouch Center. Under sedation, pouchoscopy was performed with a gastroscope. We detected an anterior distal pouch mucosal prolapse, 1.5 cm in diameter, blocking the anal canal. The prolaps...