A survey of colonoscopic polypectomy practices among clinical gastroenterologists

Singh, Navjot; Harrison, Matthew; Rex, Douglas K.

doi:10.1016/s0016-5107(04)01808-5

Cited by 172 publications

(108 citation statements)

References 12 publications

Supporting

Mentioning

106

Contrasting

Order By: Relevance

“…On the other hand, hot snare polypectomy is the preferred method removing polyps that are 1 cm or larger, based on a survey of common gastroenterology practices (4). However, polyps that are 6 to 9 mm in size are removed by different methods, such as hot forceps polypectomy, cold snare polypectomy, or hot snare polypectomy (5). In this study, we evaluated two different methods of resecting polyps that are 5-9 mm.…”

Section: Discussionmentioning

confidence: 99%

“…The method chosen for polypectomy is often related to the appearance and size of the polyp (4). The simplest method for polypectomy is cold forceps removal for small polyps (5). Hot forceps polypectomy is another option for small polyps.…”

Section: Introductionmentioning

confidence: 99%

“…The use of hot forceps has fallen out of favor following polypectomy due to the presence of residual polyp tissue (6). Another choice is snare polypectomy (with an electrocauter), which is the preferred method for the removal of polyps that are 1 cm or larger based on a survey of common gastroenterology practices (5). The purpose of electrocauter in snare polypectomy is to either provide extra power in cutting the tissue or prevent bleeding by coagulation of the tissue (4).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cold snare polypectomy versus hot snare polypectomy in endoscopic treatment of small polyps

Aslan

Camcı²,

Alper³

et al. 2014

Turk J Gastroenterol

View full text Add to dashboard Cite

Background/Aims: The removal of small colon polyps by hot snare polypectomy (HP) is a commonly used method. Polypectomy with a cold snare (CP) has been increasingly utilized in recent years. Each method has its own advantages and disadvantages. Herein, we explored the efficacy and safety of each method. Materials and Methods: Between January 1, 2012 and June 30, 2012, 97 consecutive patients with small colorectal polyps ranging from 5-9 mm in size were separated into either the CP or HP group. Demographic data, the duration of polypectomy, and pathology reports were recorded. Results: Seventy-seven polyps were removed from 49 patients in the CP group, and 71 polyps were removed from 48 patients in the HP group. There was no significant difference between the groups with respect to gender, age distribution, number of polyps, or indications for colonoscopy. The mean polyp size was 7.21±1.4 mm in the CP group and 7.56±1.45 mm in the HP group (p=0.111). There was a significant difference in the mean procedure time between the two groups (CP, 25.71±4.3 sec; HP, 70.28±11.3 sec, p<0.001). One patient (1.3/1.4%) from each group developed post-polypectomy bleeding that required treatment. Histological evaluation revealed that 10 of the polyps (6.75%) were advanced adenomas. Pathological examination showed that the polyps were not completely removed in 4 patients (5.13%) in the CP group and 4 patients (5.63%) in the HP group (p=0.89). Conclusion: CP is an effective and safe method that shortens the polypectomy duration in small polyps (≤9 mm) compared to HP.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cold snare polypectomy versus hot snare polypectomy in endoscopic treatment of small polyps

Aslan

Camcı²,

Alper³

et al. 2014

Turk J Gastroenterol

View full text Add to dashboard Cite

show abstract

“…It is the simplest method to remove polyps of small dimension (<4 mm) (26). It is easy and safe as it carries a negligible risk of perforation (27).…”

Section: Polypectomy Using Biopsy Forcepsmentioning

confidence: 99%

Approaching polyps in the time of discrimination

Furnari¹

2015

rghn

View full text Add to dashboard Cite

SummaryColorectal cancer (CRC) is one of the leading causes of cancer related death in the western countries. Up to 80% of CRC develops from adenomatous polyps, which can be detected and removed during colonoscopy, thus reducing the incidence of colorectal cancer. Screening colonoscopy is indeed the most efficient method of CRC prevention. However, "polyp" is an umbrella term including different type of lesions, which in turn are associated with different risks of developing or already harbouring neoplastic tissue. Several characteristics of a polyp can be assessed during an endoscopy examination such as gross morphology, superficial glandular pattern, vascular pattern and appearance under chromoendoscopy, which can reflect the nature of the polyp whether benign or with malignant potential. Nowadays, the umbrella term "polyectomy" has become obsolete as endoscopist should be able to tailor the management of colonic polyps according to their endoscopic features.

show abstract

“…This is most often associated with electrocautery and most frequently occurs following attempts at removal of large polyps from the proximal colon. Submucosal saline injection prior to polypectomy has been suggested might reduce the risk, (Norton, Wang et al 2002;Singh, Harrison et al 2004) however randomized controlled trial evidence on this observation is lacking. Current guidelines suggest that perforation rates of greater than the rate of 1:500 overall or 1:1000 in screening patients as documented in previous studies should highlight the need for further investigation into any inappropriate practices that may be a contributory (Silvis, Nebel et al 1976;Nivatvongs 1986;Gatto, Frucht et al 2003;Rabeneck, Paszat et al 2008; National Health Service Cancer Screening Programmes 2011).…”

Section: Complication Ratesmentioning

confidence: 99%