Cold snare polypectomy: Does snare type influence outcomes?

Din, Said; Ball, Alex; Riley, Stuart; Kitsanta, Panagiota; Johal, S S

doi:10.1111/den.12431

Cited by 42 publications

(87 citation statements)

References 38 publications

(47 reference statements)

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“…Our study confirmed and concurs with previous studies that CSP is a very safe procedure and a justifiable choice of procedure in colorectal . The postoperative hemorrhage rate was 0.1% even though 52 patients (15.2%) were receiving various antithrombotic treatments.…”

Section: Discussionsupporting

confidence: 92%

“…Our study also showed that the histopathological margins of resected specimens using CSP were negative in 70.5% of lesions. Previous studies have also reported low rates of a negative histopathological margin (50–60%) . Compared to other endoscopic therapies, this rate was lower than that of EMR for tumors <20 mm in diameter (78.3%, 489/624) in our previous study .…”

Section: Discussioncontrasting

confidence: 40%

“…From 1992 to 2016, several studies on CSP have been published . Most studies had a relatively small sample size (<300 polyps) and targeted small polyps (<10 mm in diameter).…”

Section: Discussionmentioning

confidence: 99%

“…For bowel preparation, patients followed a low‐residue diet and took 10 mL sodium picosulfate 1 day before the examination followed by 1.0 L high concentrated polyethylene glycol solution (Moviprep; Ajinomoto Pharma Co., Ltd, Tokyo, Japan) with ≥0.5 L water on the morning of the day of examination . CSP was carried out as reported previously, using three types of snare, including the Exacto cold snare (US Endoscopy, Mentor, OH, USA), Captivator II (15 mm; Boston Scientific, Marlborough, MA, USA), and Dualoop (Medico's Hirata Inc., Osaka, Japan) . In the event of immediate bleeding after resection that continued for >2 min during excision, endoscopic clipping was carried out.…”

Section: Methodsmentioning

confidence: 99%

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Histopathological analysis of cold snare polypectomy and its indication for colorectal polyps 10–14 mm in diameter

Hirose

Yoshida

Murakami

et al. 2017

Digestive Endoscopy

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 40%

“…From 1992 to 2016, several studies on CSP have been published . Most studies had a relatively small sample size (<300 polyps) and targeted small polyps (<10 mm in diameter).…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Histopathological analysis of cold snare polypectomy and its indication for colorectal polyps 10–14 mm in diameter

Hirose

Yoshida

Murakami

et al. 2017

Digestive Endoscopy

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“…An association between the types of snare used and complete resection rates of polyps has been reported . For example, we showed that cold dedicated snares were superior to traditional snares for removal of 8–10‐mm non‐pedunculated polyps and pedunculated polyps ≤10 mm .…”

Section: Devices For Cold Snare Polypectomymentioning

confidence: 60%

Cold snare polypectomy: Indications, devices, techniques, outcomes and future

Horiuchi

Ikuse

Tanaka

2019

Digestive Endoscopy

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Colonoscopy has been shown to reduce the risk of colon cancer by enabling the removal of precancerous lesions. Although cold snare and hot snare polypectomy have similar retrieval rates and complete resection rates, rates of delayed bleeding tend to be lower with cold snare polypectomy than with hot snare polypectomy, especially for patients taking antithrombotic agents. However, among cold snares there may be differences in terms of the completeness of polyp excision, as complete removal appears more likely with thin‐wire dedicated cold snares compared to the traditional, thick‐wire cold snares. Cold snare polypectomy may be especially well suited for use in patients taking antithrombotic agents, due to its minimal risk of delayed bleeding. Histological analyses suggest that cold snare polypectomy causes less damage to blood vessels in the submucosal layers, which results in a reduced incidence of hemorrhage compared to hot snare polypectomy. However, cold snare removal of small polyps may result in fragmentation of small specimens during collection and concerns as to whether the resection is complete. An endoscopy biomarker of effective cold snare polypectomy technique is needed to ensure complete removal of non‐pedunculated colorectal polyps ≤10 mm. Future uses of cold snare polypectomy may include piecemeal removal of sessile serrated adenoma/polyp lesions >10 mm. Currently, cold snare polypectomy should be considered a primary method for colorectal polyps of less than 10 mm, especially those in the 4‐ to 10‐mm range.

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Comparative efficacy of cold polypectomy techniques for diminutive colorectal polyps: a systematic review and network meta-analysis

et al. 2017

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Cold snare polypectomy: Does snare type influence outcomes?

Abstract: Snare type appears to be an important determinant of completeness of excision when removing small polyps by the cold snare technique.

Cited by 42 publications

References 38 publications

Histopathological analysis of cold snare polypectomy and its indication for colorectal polyps 10–14 mm in diameter

Histopathological analysis of cold snare polypectomy and its indication for colorectal polyps 10–14 mm in diameter

Cold snare polypectomy: Indications, devices, techniques, outcomes and future

Comparative efficacy of cold polypectomy techniques for diminutive colorectal polyps: a systematic review and network meta-analysis

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