LAPAROSCOPIC BOWEL MOBILIZATION COMBINED WITH INTRAOPERATIVE COLONOSCOPIC POLYPECTOMY IN PATIENTS WITH AN INACCESSIBLE POLYP OF THE COLON

Background: The purpose of this report was to describe a simple techni que suitable for polyps where circumstances of the bowel anatomy preve nt complete access and control of the colonoscopic procedure. Methods: By combining laparoscopic mobilization of the bowel with colonoscopic polypectomy, previously inaccessible polyps could be snared in two pa tients. Results: Both patients had 3-cm large sessile adenomas in the sigmoid colon safely removed, and they returned home within a day. Con clusions: The described procedure increases the safety of the otherwis e difficult polypectomy and also avoids laparotomy with enterotomy or bowel resection as the alternative.