Efficacy and Safety of Cold Snare Polypectomy versus Cold Endoscopic Mucosal Resection for Resecting 3-10 mm Colorectal Polyps: Systematic Review and Meta-Analysis of Randomized Controlled Trials

被引:1
作者
Wang, Shao-Tong [1 ]
Kong, Qing-Zhou [1 ]
Li, Yan-Qing [1 ,2 ,3 ]
Ji, Rui [1 ,2 ,3 ]
机构
[1] Shandong Univ, Qilu Hosp, Dept Gastroenterol, Jinan, Shandong, Peoples R China
[2] Shandong Univ, Qilu Hosp, Lab Translat Gastroenterol, Jinan, Peoples R China
[3] Shandong Univ, Qilu Hosp, Shandong Prov Clin Res Ctr Digest Dis, Jinan, Peoples R China
关键词
Colorectal polyps; Treatment outcome; Cold snare polypectomy; Cold endoscopic mucosal resection; Endoscopy; FORCEPS POLYPECTOMY; BIOPSY TECHNIQUE; INJECTION; REMOVAL; SOCIETY; IMPACT;
D O I
10.1159/000535521
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Introduction: The safety and efficacy of cold snare polypectomy (CSP) compared to those of cold endoscopic mucosal resection (CEMR) have been reported. This meta-analysis compared the efficacy and safety of CEMR and CSP. Methods: PubMed, Embase, Web of Science, and Cochrane Library databases were systematically searched to identify randomized controlled trials comparing the efficacy and safety of CEMR and CSP in removing 3-10 mm polyps. The outcomes assessed included complete resection rate, intraoperative bleeding rate, delayed bleeding rate, perforation, and polyp removal time. The results are reported as risk ratios (RR) and 95% confidence intervals (CIs) derived from a Mantel-Haenszel random-effects model. Results: Seven studies comprising 1,911 polyps were included in the analysis. The complete resection rate of CEMR was comparable to that of CSP (RR: 1.01, 95% CI: 0.99-1.04, p = 0.32). Comparable results were also demonstrated for intraoperative bleeding rate (polyp-based analysis: RR: 1.22, 95% CI: 0.33-4.43, p = 0.77), delayed bleeding rate (polyp-based analysis: RR: 1.34, 95% CI: 0.44-4.15, p = 0.61), and polyp removal time (mean difference: 28.31 s, 95% CI: -21.40-78.02, p = 0.26). No studies reported cases of perforation. Conclusion: CEMR has comparable efficacy and safety to CSP in removing 3-10 mm polyps. Further randomized controlled trials with long-term follow-up are warranted to compare and validate efficacy. (c) 2024 S. Karger AG, Basel
引用
收藏
页码:157 / 165
页数:9
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