Jumbo biopsy forceps versus cold snares for removing diminutive colorectal polyps: a prospective randomized controlled trial

被引：36

作者：

Huh, Cheal Wung ^{[1
]}

Kim, Joon Sung ^{[1
]}

Choi, Hyun Ho ^{[3
]}

Maeng, I. So ^{[2
]}

Jun, Sun-Young ^{[2
]}

Kim, Byung-Wook ^{[1
]}

机构：

[1] Catholic Univ Korea, Incheon St Marys Hosp, Coll Med, Div Gastroenterol,Dept Internal Med, Seoul, South Korea

[2] Catholic Univ Korea, Incheon St Marys Hosp, Coll Med, Dept Pathol, Seoul, South Korea

[3] Catholic Univ Korea, Coll Med, Uijeongbu St Marys Hosp, Div Gastroenterol,Dept Internal Med, Seoul, South Korea

来源：

GASTROINTESTINAL ENDOSCOPY | 2019年 / 90卷 / 01期

关键词：

POLYPECTOMY TECHNIQUES; RESECTION; COLONOSCOPY; COMPETENCE; ENDOSCOPY; RISK;

D O I：

10.1016/j.gie.2019.01.016

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and Aims: Cold snare polypectomy (CSP) and jumbo forceps polypectomy (JFP) have been shown to be effective for removing diminutive colorectal polyps (DCPs) (<= 5 mm). However, no study has compared complete resection rates between CSP and JFP for DCPs. The aim of this study was to compare the efficacy and safety of JFP with CSP for the removal of DCPs. Methods: This was a prospective randomized controlled trial from 2 tertiary-care referral centers. A total of 1003 patients were screened, and 169 patients with 196 DCPs were enrolled. The main outcome was complete polyp resection rate. Results: Of 196 diminutive polyps, 177 (90.3%) were adenomatous polyps. The overall complete resection rate was 92.1% (163/177). The complete resection rate was not significantly different between JFP and CSP groups (92.0% vs 92.2%; P = .947). JFP achieved complete resection rates comparable with CSP for polyps >3 mm (90.3% vs 89.8%; P = .928). Polypectomy procedure time, tissue retrieval rate, and rate of postpolypectomy adverse events were not significantly different between the 2 groups. Conclusions: Both JFP and CSP achieved complete resection rates of >90% for DCPs. Thus, JFP may be considered for polypectomy of DCPs.

引用

页码：105 / 111

页数：7

共 23 条

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