Eradication of diminutive polyps: a prospective evaluation of bipolar coagulation versus conventional biopsy removal

Woods, Alfreda; Sanowski, Robert A.; Wadas, Darrell D.; Manne, Rao K.; Friess, S.W.

doi:10.1016/s0016-5107(89)72906-0

Cited by 76 publications

(46 citation statements)

References 30 publications

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“…Another important point lies in the answer to the question, ''is there residual polyp tissue?'' A significantly greater percentage of small adenomatous polyps have residual adenomatous epithelium if they are excised without thermal electrocoagulation compared to those resected with thermal electrocoagulation (11). Additionally, in a recent study, it was reported that the presence of advanced neoplasia in polyps ≤5 mm was as high as 8.7% (12).…”

Section: Discussionmentioning

confidence: 99%

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

Aslan

Camcı²,

Alper³

et al. 2014

Turk J Gastroenterol

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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.

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Section: Discussionmentioning

confidence: 99%

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

Aslan

Camcı²,

Alper³

et al. 2014

Turk J Gastroenterol

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“…Following cold biopsy forceps polypectomy, Efthymios et al used an aggressive saline-lift excision technique for the base resection, and found 61% (33/54) of diminutive polyps were inadequately resected [12]. Woods et al described that cold and hot biopsy forcep techniques are insufficient for the complete destruction of small polyps with 29% (cold) and 21% (hot) residual viable tissue found at the polypectomy site during surveillant sigmoidoscopy [13]. Another study of 174 patients showed a 16% recurrence rate on a follow-up colonoscopy after complete resection of sessile and pedunculated polyps C3 cm [14].…”

Section: Discussionmentioning

confidence: 99%

Quality of Polyp Resection During Colonoscopy: Are We Achieving Polyp Clearance?

Liu

Krinsky

2012

Dig Dis Sci

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“…It is easy and safe as it carries a negligible risk of perforation (27). However, the risk of incomplete resection, particularly when minor initial bleeding occurs, is high (28) with adenomatous tissue being present at the site of cold forceps polypectomy in nearly 30% of cases (29). Nowadays, this technique is progressively substituted by cold snare resection and should be used only for diminutive polyps < 3 mm in size where a complete resection can be achieved (30).…”

Section: Polypectomy Using Biopsy Forcepsmentioning

confidence: 99%

Approaching polyps in the time of discrimination

Furnari¹

2015

rghn

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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.

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Eradication of diminutive polyps: a prospective evaluation of bipolar coagulation versus conventional biopsy removal

Cited by 76 publications

References 30 publications

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

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

Quality of Polyp Resection During Colonoscopy: Are We Achieving Polyp Clearance?

Approaching polyps in the time of discrimination

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