Cold Snare Polypectomy for Small Colo-rectal Polyps-Quick and Safe. Academic Article uri icon

Overview

abstract

  • Overall, these data suggest that CSP is safer than HSP for the removal of small, 4-10-mm polyps. CSP also obviates the need to prepare an electro-surgical generator or lifting solution for HSP, resulting in faster polypectomy and procedure times. Concerns about incomplete histologic resection appear to be unfounded, as there was no difference in successful tissue retrieval, en bloc resection, or complete histologic resection between groups. Limitations include the lack of endoscopic blinding and follow-up colonoscopy to confirm the bleeding site, particularly in patients who underwent concurrent large polyp resection. Nevertheless, these findings support the enthusiasm for CSP which, based on an improved safety and efficiency profile, appears poised to replace HSP for the routine resection of small colo-rectal polyps.

publication date

  • May 12, 2023

Identity

Digital Object Identifier (DOI)

  • 10.1053/j.gastro.2023.05.005

PubMed ID

  • 37178740