Anecdotally, many colonoscopists still use forceps to remove small and diminutive colorectal polyps that are more effectively and efficiently removed by snare polypectomy.<\/p>\n\n\n\n
In 2 U.S. health centers over a 2-year period, the prevalence of forceps polypectomy was noted, and an intervention was employed. During a faculty meeting of gastroenterologists from both health systems, education on cold snare polypectomy was provided, a prespecified metric of \u226575% of nondiminutive polyps being resected with a snare was presented, and questions were answered. The faculty received one-time feedback on the group\u2019s progress toward the metric, which had been tied to a financial incentive of approximately $1000 per gastroenterologist. <\/p>\n\n\n\n
Forty-two attending GI doctors were involved, with a median of 184 colonoscopies performed per doctor. Of 25,534 polypectomies, forceps were used to remove 51.9% of polyps 1 to 4 mm in size and 23.7% of those 5 to 9 mm in size. Removal with forceps was considered inappropriate for polyps \u22655 mm so that 8.5% of all polypectomies were deemed inappropriate forceps removal, of which 86.5% were for polyps 5 to 6 mm in size. Of the polyps measuring exactly 5 mm, 52.2% were removed with forceps. <\/p>\n\n\n\n
Inappropriate forceps polypectomy as defined in the study decreased from 11.4% to 5.3% after the intervention. The proportion of polyps inappropriately removed by forceps ranged from 0% to 29.2% among endoscopists.<\/p>\n\n\n\n
If removal of polyps using forceps was confined to polyps \u22642 mm in size, as recommend by the U.S. Multi-Society Task Force on Colorectal Cancer, then the rate of inappropriate forceps removal was 50% before the intervention and declined to 43% after the intervention.<\/p>\n","protected":false},"excerpt":{"rendered":"
Anecdotally, many colonoscopists still use forceps to remove small and diminutive colorectal polyps that are more effectively and efficiently removed by snare polypectomy. In 2 U.S. health centers over a 2-year period, the prevalence of forceps polypectomy was noted, and an intervention was employed. During a faculty meeting of gastroenterologists from both health systems, education … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2058,3107,3108],"class_list":["post-11431","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-colon-2","tag-small-and-diminutive-colorectal-polyps","tag-u-s-multi-society-task-force-on-colorectal-cancer"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/11431","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=11431"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=11431"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=11431"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}