A prospective randomized comparison of cold vs hot snare polypectomy in the occurrence of postpolypectomy bleeding in small colonic polyps

Paspatis, Gregorios A.; Tribonias, George; Konstantinidis, Konstantinos; Theodoropoulou, Anǵeliki; Vardas, Emmanouil; Voudoukis, Evangelos; Manolaraki, Maria; Chainaki, Irene G.; Chlouverakis, Gregorios

doi:10.1111/j.1463-1318.2011.02696.x

Cited by 134 publications

(138 citation statements)

References 11 publications

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“…Avoidance of electrocautery in resection of diminutive polyps and some small (6-9 mm) polyps, in favor of cold resection techniques (particularly cold snaring), has proven remarkably safe. 155,156 Submucosal injection likely reduces risk during EMR. A guidewire passed through strictures before an attempt to push an endoscope through can prevent the instrument tip from sliding off the stricture and dissecting the adjacent colon wall.…”

Section: Postprocedures Quality Indicatorsmentioning

confidence: 98%

Quality indicators for colonoscopy

Rex¹,

Petrini²,

Baron³

et al. 2015

Gastrointestinal Endoscopy

1,133

959

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Section: Postprocedures Quality Indicatorsmentioning

confidence: 98%

Quality indicators for colonoscopy

Rex¹,

Petrini²,

Baron³

et al. 2015

Gastrointestinal Endoscopy

1,133

959

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“…No significant difference in terms of polyp removal rates and retrieval was observed between the two methods. Intraprocedural bleeding was more frequent in the cold group in two studies,40,41 but resolved spontaneously and required no additional intervention, while in the other,42 immediate and delayed bleeding was more frequently observed in the hot snare group. Hot snare polypectomy required a longer procedural time and had more post-procedural abdominal symptoms.…”

Section: Diminutive and Small Polypsmentioning

confidence: 90%

“…Three studies have compared cold snare polypectomy with hot snare polypectomy for small and diminutive polyps 40–42. No significant difference in terms of polyp removal rates and retrieval was observed between the two methods.…”

Section: Diminutive and Small Polypsmentioning

confidence: 99%

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Advances, problems, and complications of polypectomy

Anderloni¹,

Jovani²,

Hassan³

et al. 2014

CEG

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The major role of colonoscopy with polypectomy in reducing the incidence of and mortality from colorectal cancer has been firmly established. Yet there is cause to be uneasy. One of the most striking recent findings is that there is an alarmingly high incomplete polyp removal rate. This phenomenon, together with missed polyps during screening colonoscopy, is thought to be responsible for the majority of interval cancers. Knowledge of serrated polyps needs to broaden as well, since they are quite often missed or incompletely removed. Removal of small and diminutive polyps is almost devoid of complications. Cold snare polypectomy seems to be the best approach for these lesions, with biopsy forcep removal reserved only for the tiniest of polyps. Hot snare or hot biopsy forcep removal of these lesions is no longer recommended. Endoscopic mucosal resection and endoscopic submucosal dissection have proven to be effective in the removal of large colorectal lesions, avoiding surgery in the majority of patients, with acceptably low complication rates. Variants of these approaches, as well as new hybrid techniques, are being currently tested. In this paper, we review the current status of the different approaches in removing polypoid and nonpolypoid lesions of the colon, their complications, and future directions in the prevention of colorectal cancer.

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“…Cold snare polypectomy has been proven to be a safe and effective method for the removal of small colonic polyps without the risk of causing electrocautery burns and perforation (4-6). In addition, there is no difference in the occurrence of post-polypectomy bleeding in small colonic polyps removed by cold snare polypectomy compared with the conventional hot snare polypectomy (7). As a result, cold snare polypectomy for small colonic polyps has been widely used, however, the use of this method for small bowel polyps has not yet been reported.…”

Section: Disscussionmentioning

confidence: 99%

Newly Developed Endoscopic Treatment for Small Bowel Polyps: Cold Snare Polypectomy

et al. 2016

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A 72-year-old man with the history of small bowel carcinoma was diagnosed to have a sessile polyp in the jejunum during a follow-up examination. We performed double-balloon endoscopy and removed the polyp by means of cold snare polypectomy. The follow-up endoscopy showed no residual lesion. Cold snare polypectomy has been established as a safe and effective method for the endoscopic treatment of colonic polyps with a low risk of causing electrocautery burns and perforation. However, this technique has not yet been applied for small bowel lesions. This case report, for the first time, shows the feasibility of performing cold snare polypectomy for small bowel polyps.

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A prospective randomized comparison of cold vs hot snare polypectomy in the occurrence of postpolypectomy bleeding in small colonic polyps

Abstract: The data show that the CSP technique is safe, effective and quicker than HSP for patients and it could be considered the ideal procedure for small polyp removal.

Cited by 134 publications

References 11 publications

Quality indicators for colonoscopy

Quality indicators for colonoscopy

Advances, problems, and complications of polypectomy

Newly Developed Endoscopic Treatment for Small Bowel Polyps: Cold Snare Polypectomy

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