Jetab Polypectomy Snare Oval

 

 

Fòm bouk	Modèl No.	OD djenn (mm)	Lajè bouk (mm)	Longè travay (mm)
Elips (tip E)	ES18-E1810/2400	Φ1.8	10	2400
	ES18-E1815/2400	Φ1.8	15	2400
	ES18-E1810/1800	Φ1.8	10	1800
	ES18-E1815/1800	Φ1.8	15	1800
	ES18-E2410/2400	Φ2.4	10	2400
	ES18-E2415/2400	Φ2.4	15	2400
	ES18-E2410/1800	Φ2.4	10	1800
	ES18-E2415/1800	Φ2.4	15	1800
	ES18-E2425/1600	Φ2.4	25	1600
	ES18-E2425/2400	Φ2.4	25	2400
	ES18-E2432/2400	Φ2.4	32	2400
	ES18-E2425/1800	Φ2.4	25	1800
	ES18-E2432/1800	Φ2.4	32	1800
Egzagonal (tip H)	ES18-H2410/2400	Φ2.4	10	2400
	ES18-H2415/2400	Φ2.4	15	2400
	ES18-H2422/2400	Φ2.4	22	2400
	ES18-H2432/2400	Φ2.4	32	2400
	ES18-H2410/1800	Φ2.4	10	1800
	ES18-H2415/1800	Φ2.4	15	1800
	ES18-H2422/1800	Φ2.4	22	1800
	ES18-H2432/1800	Φ2.4	32	1800
Kwasan (kalite C)	ES18-C2415/2400	Φ2.4	15	2400
	ES18-C2425/2400	Φ2.4	25	2400
	ES18-C2432/2400	Φ2.4	32	2400
	ES18-C2415/1800	Φ2.4	15	1800
	ES18-C2425/1800	Φ2.4	25	1800
	ES18-C2432/1800	Φ2.4	32	1800
Wonn (Tip R)	ES18-R2432/2400	Φ2.4	32	2400
	ES18-R2432/1800	Φ2.4	32	1800

 

Jetab Polypectomy Snare oval, andoskopis la avanse djenn pyèj la, ouvri pyèj la ak antoure polip la. Lè sa a, pèlen an fèmen tou dousman ak pwogresivman, ak objektif pou kaptire 1-2 mm tisi nòmal alantou polip la, Lè sa a, sèvi ak Electrocoagulation jiskaske fèmen konplè yo reyalize epi polip la guillotine. Lè sa a, polip la ka aspirasyon ak rekipere pou evalyasyon histolojik.

 

Disposable Polypectomy Snare oval, ki se lè l sèvi avèk electrocoagulation sou baz la nan itilize frèt snare.After HSP, yon lòt chirijyen andoskopik endepandan jije si eradikasyon andoskopik la te reyisi. Apre sa, yo te fè EMR adisyonèl nan sit la polipèktomi pou evalye prezans nan tisi polip rezidyèl, ki gen ladan yon maj klè adisyonèl 1 a 2 mm, yo te reseck pa pèlen ak Endocut aktyèl apre piki submucosal nan yon solisyon melanje. Nan ka pa gen okenn tisi yo ta ka retire oswa si EMR echwe pou jwenn espesimèn mukozal in situ. Yo te jwenn omwen kat byopsi frèt lè l sèvi avèk forceps sou rès ki rete yo. Apre chak pwosedi, yo te obsève sit polipèktomi a pou 30 segonn pou konfime absans senyen imedya, espesimèn yo te rekipere epi estoke nan fòmalin. Yo te kolekte koup transvèsal echantiyon EMR yo nan 1-mm entèval; seksyon tisi egzat nan sit la make te asire.

 

Kansè kolorektal (CRC) se twazyèm kansè ki pi komen nan peyi Etazini ak 135 – 420 nouvo ka pa ane 1. Kolonoskopi tès depistaj ak polipèktomi redwi anpil ensidans ak mòtalite CRC 2 3. Sepandan, yo te rapòte yon to inatandi segondè nan reseksyon enkonplè nan polip kolon yo te rapòte nan kèk etid resan, e sa a te gen rapò ak yon pi gwo risk pou entèval apre kolonoskopi CRC 4. Diminitif (< 5 mm) and small (6 – 9 mm) polyps represent the vast majority of polyps removed at screening colonoscopy 5. In theory, two major techniques are available for these lesions, namely biopsy-forceps polypectomy and snare polypectomy. The former, however, has been associated with a much higher rate of incomplete resection, especially for small polyps, and its use is not generally recommended 6. The latter may be further classified into hot (HSP) and cold (CSP) snare polypectomy. The basic difference is the use of a high frequency generator for HSP. Such use may, on the one hand, minimize immediate post-polypectomy bleeding by coagulation, but, on the other, it may also damage deeper vessels with increased risk of delayed bleeding 7 8 or even perforation. For this reason, CSP is usually considered safer, while resulting in equivalent rates of complete resection, and its use has dramatically increased in recent years 9 10 11 12, due also to the development of specific CSP-snares. CSP- and HSP-incomplete resection rates (IRR) for ≤ 10 mm polyps range widely, being 0.5 – 6.4 % and 1.2 – 7.4 %, respectively 12 13 14 15, and these estimates are much lower compared with forceps-polypectomy 6 16. However, any advantage of one technique (HSP vs. CSP) over the other remains unclear 17.

 

Baj popilè: jetab polypectomy pèlen oval, Lachin jetab polipèktomi pèlen oval manifaktirè, Swèd