This device is used for endoscopic clip placement within the gastrointestinal tract for the purpose of endoscopic marking, hemostasis for mucosal/submucosal defects less than 3 cm in the upper GI tract, bleeding ulcers, arteries less than 2 mm and polyps less than 1.5 cm in diameter in the GI tract. This device is not intended for the repair of GI tract lumenal perforations.Background/Case Information
A 68-year-old patient presented for a surveillance colonoscopy. Five
years prior, the patient underwent screening colonoscopy and two
small tubular adenomas were removed. The patient takes Coumadin
for chronic atrial fibrillation, having stopped it five days earlier in
preparation for colonosc
Following resection, the polypectomy base was free of bleeding and there was no
evidence of perforation. Given the patient was to resume Coumadin, it was decided to
close the mucosal defect to reduce the risk of post-polypectomy bleeding.
The mucosal defect resulting from the polyp removal was closed with three
Instinct Endoscopic Clips with good effect
The patient tolerated the procedure well and was discharged from the endoscopy unit.
Pathology demonstrated a sessile serrated adenoma without high-grade dysplasia.
Coumadin was resumed 24 hours post-polypectomy and there was no clinical evidence of
bleeding. The patient was advised to undergo surveillance colonoscopy in three y