Anyone hear of a prolapse being treated by hot snare? | The J-Pouch Group

Topics

pouchington

Follow

Anyone hear of a prolapse being treated by hot snare? Here is an article written by Dr Shen: Pouch 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 prolapsed mucosa was excised with hot snare under a retroflex view. There was no bleeding or perforation. The entire procedure took 25 minutes. The patient tolerated the procedure well and was discharged home 30 minutes after post-procedural observation. The patient reported the resolution of the dyschezia symptom. The histopathological examination of excised specimen showed small bowel mucosa and sub-mucosa with changes compatible with mucosal prolapse. Endoscopic hot snare appears to be feasible in the management of pouch mucosal prolapse.

Replies sorted oldest to newest

Jan DollarModerator, RN, retired

Please note that this is just a mucosal prolapse, NOT a full thickness prolapse. Plus, it is right next to the anal canal. In this case, the mucosa was removed, similar to a polyp removal. Not all prolapses are the same and treatment is dependent on the type and location.

Jan

pouchingtonMember

thanks jan. my report says anterior distal pouch mucosal prolapse. would that make this a possibility for me?

6/26/1410:01 AM

Jan DollarModerator, RN, retired

Yes, most likely!

Jan

6/26/1410:14 AM

pouchingtonMember

jan, i was mistaken. the report actually says 70% distal pouch prolapse.

pouchingtonMember

got a reply from shen and he said yes it is doable for me.

Jan DollarModerator, RN, retired

Good news, since that is the easy route!

Jan

Add Reply

Sign In To Reply

<div id="{%=id%}" class="reveal-modal small h-alert-modal-popup" data-reveal>
    <div class="first-modal-focus focus-utility-element" tabindex="0" aria-label="Inside Modal"></div>

<h4 id="{%=id%}_title" class="margin-bottom-10 popup-title"></h4>
    <div id="{%=id%}_body" class="margin-bottom-10 popup-body">
        </div>

<ul id="{%=id%}ButtonGroup" class="button-group h-popup-buttons even-button-group even-1">
    <li id="{%=id%}Okay_buttonContainer"><a id="{%=id%}Okay" href="javascript:void(0);" class="button success no-margin-bottom h-alert-modal-ok-button" role="button">OK</a><script type="text/javascript">
        (function() {
            function {%=id%}Okay_click(event, data) {
            {%=id%}Popup.hide();
        }
        
                $('#{%=id%}Okay').on('click', {%=id%}Okay_click);
        })();
    </script></li></ul><a href="javascript:void(0);" class="close-reveal-modal" aria-label="Close Modal">&#215;</a><div class="last-modal-focus focus-utility-element" tabindex="0"></div>
</div>
<script type="text/javascript">
        (function() {
            {%=id%}Popup = new SS.Popup.ModalPopup('{%=id%}');
        })();
    </script>