Preview

Experimental and Clinical Gastroenterology

Advanced search

THE EFFICACY AND SAFETY OF COLD SNARE POLYPECTOMY FOR COLON POLYPS SIZE ≤ 8 MM

Abstract

The aim of the study was to test effectiveness and safety of cold snare polypectomy in small colonic polyps ≤8 mm in size. Method. In all, 148 consecutive patients with 308 small colorectal polyps were treated with cold snare polypectomy (CSP). Results. The average polyp size was 5.2±1.8 mm. 93.6% of polyps have been retrieved. Lost polyps were smaller then retrieved ones 3.8±1.5 mm vs 5.3±1.7 mm (р=0,0002). R0 resection has been achieved in 88.9% of cases. Serrated morphology was the only risk factor for R1 resection (р=0,008). There was no perforation or delayed bleeding. Intraprocedural bleeding was rate was 1.6% Conclusion. The data show that the CSP technique is safe and effective for small polyp removal.

About the Authors

M. Yu. Agapov
Branch Clinical Hospital at the Vladivostok Station, OAO «RZhD»
Russian Federation


K. D. Khalin
Pacific State Medical University
Russian Federation


A. S. Barsukov
Branch Clinical Hospital at the Vladivostok Station, OAO «RZhD»
Russian Federation


E. F. Ryzhkov
Branch Clinical Hospital at the Vladivostok Station, OAO «RZhD»
Russian Federation


L. V. Zvereva
Branch Clinical Hospital at the Vladivostok Station, OAO «RZhD»
Russian Federation


References

1. Владимирова А. А., Чашкова Е. Ю., Григорьев Е. Г. и др. Особенности трансформации небольших эпителиальных новообразований толстой кишки // Колопроктология. - 2009. - № 1. - С. 4-9.

2. Church JM. Clinical significance of small colorectal polyps. Dis Colon Rectum. 2004 Apr;47(4):481-5.

3. Tsai FC1, Strum WB. Prevalence of advanced adenomas in small and diminutive colon polyps using direct measurement of size. Dig Dis Sci. 2011 Aug;56(8):2384-8.

4. Ichise Y, Horiuchi A, Nakayama Y, Tanaka N. Prospective randomized comparison of cold snare polypectomy and conventional polypectomy for small colorectal polyps. Digestion 2011; 84: 78-81.

5. Paspatis GA, Tribonias G, Konstantinidis K et al. A prospective randomized comparison of cold versus hot snare polypectomy in the occurrence of postpolypectomy bleeding in small colonic polyps. Colorectal Dis. 2011; 13: e345-348.

6. Robertson DJ. Colonoscopy for colorectal cancer prevention: is it fulfilling the promise? Gastrointest Endosc. 2010;71:118-120.

7. Aslan F, Camcı M, Alper E, et al. Cold snare polypectomy versus hot snare polypectomy in endoscopic treatment of small polyps. Turk J Gastroenterol. 2014 Jun;25(3):279-83.

8. Horiuchi A, Nakayama Y, Kajiyama M, et al. Removal of small colorectal polyps in anticoagulated patients: a prospective randomized comparison of cold snare and conventional polypectomy. Gastrointest Endosc. 2014 Mar;79(3):417-23.

9. Takeuchi Y, Yamashina T, Matsuura N, et al. Feasibility of cold snare polypectomy in Japan: A pilot study. World J Gastrointest Endosc. 2015 Nov 25;7(17):1250-6.

10. Komeda Y, Suzuki N, Sarah M, et al. Factors associated with failed polyp retrieval at screening colonoscopy. Gastrointest Endosc. 2013;77:395-400.

11. Deenadayalu VP, Rex DK. Colon polyp retrieval after cold snaring. Gastrointest Endosc. 2005;62:253-256.

12. Fernandes C, Pinho R, Ribeiro I, et al. Risk factors for polyp retrieval failure in colonoscopy. United European Gastroenterol J. 2015 Aug;3(4):387-92.

13. Din S, Ball AJ, Riley SA, et al. Cold snare polypectomy: does snare type influence outcomes? Dig Endosc. 2015 Jul;27(5):603-8.

14. Bordaçahar B, Barret M, Terris B, et al. Sessile serrated adenoma: from identification to resection. Dig Liver Dis. 2015 Feb;47(2):95-102.

15. Repici A, Hassan C, Vitetta E, et al. Safety of cold polypectomy for №10mm polyps at colonoscopy: a prospective multicenter study. Endoscopy. 2012 Jan;44(1):27-31.


Review

For citations:


Agapov M.Yu., Khalin K.D., Barsukov A.S., Ryzhkov E.F., Zvereva L.V. THE EFFICACY AND SAFETY OF COLD SNARE POLYPECTOMY FOR COLON POLYPS SIZE ≤ 8 MM. Experimental and Clinical Gastroenterology. 2016;(4):56-60. (In Russ.)

Views: 263


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1682-8658 (Print)