Cold snare polypectomy is the accepted treatment of choice for all colorectal polyps smaller than 10 mm and with no suggestion of cancer on endoscopic inspection. Whether cold snare resection can be extended to 10- to 19-mm polyps with good outcomes is uncertain. <\/p>\n\n\n\n
This Australian prospective multicenter trial examined cold snare resection of 10- to 19-mm polyps, with 350 removed in 295 patients over 3 years. Overall, 76% were flat polyps, 68.5% were adenomas, and 31% were sessile serrated lesions (SSLs) or hyperplastic. Incomplete resection based on universal margin and central defect biopsies was positive in 1.7%. First-surveillance colonoscopy was completed in 65% of patients, with the same recurrence rate of 1.7% at a median interval of 9.7 months. Adverse events occurred in 3.4% of patients, including 2 patients with interesting presentations of a postpolypectomy-like syndrome. There were no perforations.<\/p>\n\n\n\n
Predictors of incomplete resection included a lack of submucosal injection and more pieces per polyp resection. Incomplete resection occurred in 2.1% of adenomas compared to 1% of SSLs. Incomplete resection occurred in 1% of cases using injection versus 9% without injection.<\/p>\n","protected":false},"excerpt":{"rendered":"
Cold snare polypectomy is the accepted treatment of choice for all colorectal polyps smaller than 10 mm and with no suggestion of cancer on endoscopic inspection. Whether cold snare resection can be extended to 10- to 19-mm polyps with good outcomes is uncertain. This Australian prospective multicenter trial examined cold snare resection of 10- to … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1769],"tags":[3628,2058,268],"class_list":["post-13852","ec-news","type-ec-news","status-publish","hentry","category-asge-kolon","tag-australian-prospective-multicenter","tag-colon-2","tag-emr"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/13852","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=13852"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=13852"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=13852"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}