What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?

Aslan, Fatih; Çekiç, Cem; Camcı, Mehmet; Alper, Emrah; Ekıncı, Neşe; Akpınar, Zehra; Alpek, Serkan; Arabul, Mahmut; Ünsal, Belkıs

doi:10.1097/md.0000000000000621

Cited by 22 publications

(19 citation statements)

References 21 publications

(37 reference statements)

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“…Although the reason is not clear, the greater difficulty of manipulating the colonoscope in the right colon may result in incorrect targeting of the biopsy forceps and contribute to the incomplete removal by CFP. Because incomplete polyp resection was related to 10-27 % of interval colorectal cancers [18,19], complete removal of polyps is an [11,[20][21][22]. The recurrence rate and safety of these other resection techniques for diminutive polyps remain to be elucidated.…”

Section: Discussionmentioning

confidence: 98%

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Treatment outcomes and recurrence following standard cold forceps polypectomy for diminutive polyps

et al. 2016

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Section: Discussionmentioning

confidence: 98%

“…Several reports on the usefulness of jumbo forceps polypectomy without electrocautery (jumbo CFP) have recently been published [20][21][22]. Jumbo forceps, which are larger than standard forceps, are an effective instrument for the treatment of diminutive polyps [20,22].…”

Section: Discussionmentioning

confidence: 99%

Treatment outcomes and recurrence following standard cold forceps polypectomy for diminutive polyps

et al. 2016

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“…Aslan et al (29) confirmed the complete resection with biopsies of the resected margins and Draganov et al (30) by the specimen analyses.…”

Section: Standard Forceps Vs Jumbo Forcepsmentioning

confidence: 79%

“…The pooled analysis enrolling results from Aslan et al (29) and Draganov et al (30) compared jumbo to standard forceps. The first was significantly superior to the latter regarding curability rate while carrying the same risk of adverse events.…”

Section: Discussionmentioning

confidence: 99%

Best Polypectomy Technique for Small and Diminutive Colorectal Polyps: A Systematic Review and Meta-Analysis

Tranquillini

Bernardo

Brunaldi

et al. 2018

Arq. Gastroenterol.

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BACKGROUND: Polypectomy of colorectal polyps is the mainstay of colorectal cancer prevention. Identification of the best polypectomy technique is imperative. OBJECTIVE: This review aims at comparing efficacy of nine different resection methods for small colorectal polyps (<10 mm). METHODS: We searched and selected only randomized controlled trials. Primary outcome was complete resection rates of small polyps by histological eradication. Secondary outcomes were: adverse events, retrieval tissue failures rates and duration of procedure. RESULTS: Eighteen trials including 3215 patients and 5223 polyps were analysed. Overall, cold polypectomy had a significantly shorter time of procedure than hot polypectomy (RD -5.92, 95%CI -9.90 to -1.94, P<0.05), with no statistical difference on complete histological eradication (RD 0.08, 95%CI -0.03 to 0.19, P>0.05). Regarding cold polypectomy techniques, cold snare was found superior to cold forceps on complete and en-bloc resection rates and less time consuming. When comparing endoscopic mucosal resection (EMR) with hot-snare and cold-snare, the latter showed no-inferiority on histological eradication, adverse events or retrieval tissue failure rates. CONCLUSION: Cold polypectomy is the best technique for resection of small colorectal polyps. Among cold methods, dedicated cold snare was found superior on histological eradication. Cold snare endoscopic mucosal resection might be considered an option for polyps from 5 to 9 mm.

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“…Hence, endoscopic treatment has become the first choice for the treatment of colon polyps. At present, the methods for the endoscopic treatment of colon polyps primarily include endoscopic argon plasma coagulation, endoscopic high-frequency electric cutting, and endoscopic mucosal resection, among others (13,14).…”

Section: Discussionmentioning

confidence: 99%

Should antibiotics be administered after endoscopic mucosalresection in patients with colon polyps?

Shi¹,

Qiu²,

Liu³

et al. 2016

Turk J Med Sci

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IntroductionGastrointestinal polyps are protruded masses formed by focal hyperplasia of the gastrointestinal mucosa. Based on the site of occurrence, gastrointestinal polyps are classified as esophageal polyps, gastric polyps, duodenal polyps, small bowel polyps, and colon and rectum polyps. Thus, any protruding lesions in the colon can be termed as colon polyps.Colon polyps can cause abdominal discomfort, abdominal distension, abdominal pain, constipation, and diarrhea, among other symptoms. In some cases, colon polyps may lead to bleeding, resulting in melena or bloody stool (1,2). If this condition is not promptly treated, it could lead to cancer development. The early identification and removal of these lesions is highly effective for reducing morbidity and mortality related to colorectal carcinoma (3).The detection rate of colon polyps has significantly improved after the recent advancements in endoscopic techniques. Endoscopic treatment of this condition is currently preferred to traditional surgical treatment, as it is associated with fewer side effects and complications (4). Colonoscopic polypectomy reduces the incidence of colorectal cancer and mortality (5).At present, endoscopic mucosal resection (EMR) is widely used to treat polypoid lesions of the digestive tract, considering the minimally invasive nature, minimal trauma, fewer complications, and reliable clinical efficacy (6-8). However, it is currently unclear whether antibiotic administration is necessary after EMR of colon polyps to prevent the development of infection.In the present study, we aimed to evaluate whether the postoperative use of antibiotics has any effect on the prognosis of patients undergoing EMR for colon polyps. Materials and methods General informationThis prospective study was approved by the institutional ethics committee of Xintai Municipal People's Hospital. Informed consent was obtained from all the participants before the start of the study.Background/aim: Endoscopic mucosal resection (EMR) is widely used for treating gastrointestinal polypoid lesions. However, it is currently unclear whether antibiotic administration is necessary after EMR of colon polyps to prevent infection. We aimed to assess whether antibiotic administration is essential in such conditions. Materials and methods:In total, 115 patients with colon polyps were randomly assigned to 3 groups based on the treatment given after EMR: Group A, no antibiotics treatment after EMR (n = 38); Group B, administration of levofloxacin after EMR (n = 38); and Group C, administration of ceftazidime after EMR (n = 39). Results:The colon polyps were completely removed by EMR in all cases without any serious complications. Although infection developed in 2 cases in Group A, it was resolved via levofloxacin injection over 3 days; infection did not develop in any cases in Group B and C. The postoperative infection rate was not significantly different among Groups A, B, and C. After 6 months, we noted that the wound surface had properly healed and there was no relapse of co...

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What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?

Cited by 22 publications

References 21 publications

Treatment outcomes and recurrence following standard cold forceps polypectomy for diminutive polyps

Treatment outcomes and recurrence following standard cold forceps polypectomy for diminutive polyps

Best Polypectomy Technique for Small and Diminutive Colorectal Polyps: A Systematic Review and Meta-Analysis

Should antibiotics be administered after endoscopic mucosalresection in patients with colon polyps?

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