Endoloop use
Endoloop use
Indications:
- To prevent post polypectomy bleeding (particularly with large stalked polyps) or for treatment of post polypectomy bleeding
- Also used to prevent bleeding in gastric polypectomy
Steps:
- The endoloop comes preloaded, attached to the end of the sheath
- The loop will be protected in a plastic casing, from which it needs to be taken out
- The handle has got a yellow bung, a thumb ring and a body (where index and middle fingers rest) of the handle.
Picture1: The handle of the endoloop
- Pushing the yellow bung away from the handle (step1) will bring the loop inside the sheath
Picture2: Step1- ensheathing the loop before passing through the channel
- Next the sheathed loop is fed through the accessory channel
- Once polyp is located, loop is opened out of the sheath by pulling the yellow bung towards the handle ( Step2-reverse movement of step 1)
Picture3: Step2-Reverse movement of step 1- bringing the loop out of the sheath
- The loop is then placed over the polyp or the polypectomy stalk
- The loop is then tightened over the stalk – by closing the handle (i.e. the index and middle finger will close in to the thumb) Step3 – which moves a silicone stopper to close the loop. Don’t close too tightly; otherwise it might snare the polyp off.
Picture4: Step 3- tightening the loop
- Once tight – check for blanching around the loop as a result of restricted blood flow
- Lastly to fire/detach/deploy the loop- open the handle fully (Step 4- reverse movement of step 3)
Picture5: Step 4- Reverse of step3- firing/detaching the loop
- Loop usually stays in for up to 7days and then falls off
Video link of how to use endoloop
