Cold snare polypectomy: A closer look at the efficacy and limitations for polyps 10-20 mm in size

被引：0

作者：

Chaptini, Louis A. ^{[1
,2
]}

Jalloul, Sarah ^{[2
]}

Karam, Karam ^{[2
]}

机构：

[1] Yale Sch Med, Dept Med, Digest Dis, 333 Cedar St, New Haven, CT 06510 USA

[2] Univ Balamand, Dept Med, Gastroenterol, Balamand 100, Lebanon

来源：

WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY | 2024年 / 16卷 / 08期

关键词：

Colon polyp; Polypectomy; Cold snare polypectomy; Hot snare polypectomy; Endoscopic mucosal resection; Sessile serrated lesion; Adenoma; COLORECTAL-CANCER; COLONOSCOPY; PREVENTION; SOCIETY; EMR;

D O I：

10.4253/wjge.v16.i8.445

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Current guidelines recommend cold snare polypectomy for polyps less than 10 mm in size. Conversely, endoscopic mucosal resection is still the preferred technique for larger polyps. Concerns regarding cold snare polypectomy for larger polyps revolve around the difficulty in conducting en-bloc resection (resulting in piecemeal removal), and the potential for local residual polyp tissue and a high rate of recurrence. On the other hand, cold snare technique has the advantages of shortening procedure time, reducing delayed bleeding risks and lowering cost of treatment. Numerous ongoing and recent studies are focused on evaluating the risks and benefits of this technique for polyps larger than 10 mm, with the goal of providing clear guidelines in the near future. The aim of this editorial is to provide our readers with an overview regarding this subject and the latest developments surrounding it.

引用

页数：7

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