{"id":12221,"date":"2022-05-16T15:54:30","date_gmt":"2022-05-16T13:54:30","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=12221"},"modified":"2022-05-16T16:46:11","modified_gmt":"2022-05-16T14:46:11","slug":"cold-snare-polypectomy-of-pedunculated-polyps-%e2%89%a410-mm-choking-stalk-for-%e2%89%a510-seconds-before-resection-reduces-immediate-bleeding","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/cold-snare-polypectomy-of-pedunculated-polyps-%e2%89%a410-mm-choking-stalk-for-%e2%89%a510-seconds-before-resection-reduces-immediate-bleeding\/","title":{"rendered":"Cold Snare Polypectomy of Pedunculated Polyps \u226410 mm: Choking Stalk for \u226510 Seconds Before Resection Reduces Immediate Bleeding"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Cold snare polypectomy is now accepted as safer than hot resection of lesions \u226410 mm in size, though it is still widely believed that electrocautery should be used for pedunculated lesions.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This was a prospective, uncontrolled assessment of resection of 239 pedunculated colorectal polyps \u226410 mm removed with a dedicated 10-mm cold snare. Polyps were grasped very low on the base and \u201cchoked\u201d in 83.1% of cases. There was immediate bleeding, defined as continued bleeding for 30 seconds, in 72 polyps (30.1%).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In a multivariate analysis, choking the polyp base for at least 10 seconds decreased the likelihood of immediate bleeding by 97%. In the cases that bled, 43% required no intervention. Of the remainder, 39 required clipping and 2 were cauterized with a hot snare tip.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cold snare polypectomy is now accepted as safer than hot resection of lesions \u226410 mm in size, though it is still widely believed that electrocautery should be used for pedunculated lesions.&nbsp; This was a prospective, uncontrolled assessment of resection of 239 pedunculated colorectal polyps \u226410 mm removed with a dedicated 10-mm cold snare. Polyps were &#8230; <a title=\"Cold Snare Polypectomy of Pedunculated Polyps \u226410 mm: Choking Stalk for \u226510 Seconds Before Resection Reduces Immediate Bleeding\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/cold-snare-polypectomy-of-pedunculated-polyps-%e2%89%a410-mm-choking-stalk-for-%e2%89%a510-seconds-before-resection-reduces-immediate-bleeding\/\" aria-label=\"Read more about Cold Snare Polypectomy of Pedunculated Polyps \u226410 mm: Choking Stalk for \u226510 Seconds Before Resection Reduces Immediate Bleeding\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[1816,2058,2762],"class_list":["post-12221","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-cold-snare-polypectomy","tag-colon-2","tag-pedunculated-polyps"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/12221","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=12221"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=12221"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=12221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}