Cold Snare Polypectomy for Large Sessile Colonic Polyps: A Single-Center Experience
Colonoscopic polypectomy has been shown to reduce the risk of colorectal cancer and the mortality. Postpolypectomy bleeding was reported to be lower with cold snare polypectomy (CSP) when compared with conventional polypectomy. CSP has traditionally been utilized only in smaller polyps below 1 cm. W...
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Online Access: | http://dx.doi.org/10.1155/2015/175959 |
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doaj-61d13a7ac8884d6e9b749925a16d73e82020-11-24T23:18:47ZengHindawi LimitedGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/175959175959Cold Snare Polypectomy for Large Sessile Colonic Polyps: A Single-Center ExperienceThiruvengadam Muniraj0Ara Sahakian1Maria M. Ciarleglio2Yanhong Deng3Harry R. Aslanian4Section of Digestive Disease, Yale School of Medicine, New Haven, CT 06520, USAUniversity of Southern California, Los Angeles, CA 90089, USADepartment of Biostatistics, Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT 06520, USADepartment of Biostatistics, Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT 06520, USASection of Digestive Disease, Yale School of Medicine, New Haven, CT 06520, USAColonoscopic polypectomy has been shown to reduce the risk of colorectal cancer and the mortality. Postpolypectomy bleeding was reported to be lower with cold snare polypectomy (CSP) when compared with conventional polypectomy. CSP has traditionally been utilized only in smaller polyps below 1 cm. We retrospectively analyzed the CSP outcomes in patients with sessile polyps ≥10 mm in size and observed that CSP was feasible in large sessile polyps with no adverse events and with an acceptable rate of residual polyp on follow-up colonoscopy. Further prospective study in larger patient groups is warranted to determine optimal CSP techniques and whether CSP for large polyps has favorable efficacy in regard to complete polypectomy, procedure time, and complication rates relative to polypectomy with cautery.http://dx.doi.org/10.1155/2015/175959 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Thiruvengadam Muniraj Ara Sahakian Maria M. Ciarleglio Yanhong Deng Harry R. Aslanian |
spellingShingle |
Thiruvengadam Muniraj Ara Sahakian Maria M. Ciarleglio Yanhong Deng Harry R. Aslanian Cold Snare Polypectomy for Large Sessile Colonic Polyps: A Single-Center Experience Gastroenterology Research and Practice |
author_facet |
Thiruvengadam Muniraj Ara Sahakian Maria M. Ciarleglio Yanhong Deng Harry R. Aslanian |
author_sort |
Thiruvengadam Muniraj |
title |
Cold Snare Polypectomy for Large Sessile Colonic Polyps: A Single-Center Experience |
title_short |
Cold Snare Polypectomy for Large Sessile Colonic Polyps: A Single-Center Experience |
title_full |
Cold Snare Polypectomy for Large Sessile Colonic Polyps: A Single-Center Experience |
title_fullStr |
Cold Snare Polypectomy for Large Sessile Colonic Polyps: A Single-Center Experience |
title_full_unstemmed |
Cold Snare Polypectomy for Large Sessile Colonic Polyps: A Single-Center Experience |
title_sort |
cold snare polypectomy for large sessile colonic polyps: a single-center experience |
publisher |
Hindawi Limited |
series |
Gastroenterology Research and Practice |
issn |
1687-6121 1687-630X |
publishDate |
2015-01-01 |
description |
Colonoscopic polypectomy has been shown to reduce the risk of colorectal cancer and the mortality. Postpolypectomy bleeding was reported to be lower with cold snare polypectomy (CSP) when compared with conventional polypectomy. CSP has traditionally been utilized only in smaller polyps below 1 cm. We retrospectively analyzed the CSP outcomes in patients with sessile polyps ≥10 mm in size and observed that CSP was feasible in large sessile polyps with no adverse events and with an acceptable rate of residual polyp on follow-up colonoscopy. Further prospective study in larger patient groups is warranted to determine optimal CSP techniques and whether CSP for large polyps has favorable efficacy in regard to complete polypectomy, procedure time, and complication rates relative to polypectomy with cautery. |
url |
http://dx.doi.org/10.1155/2015/175959 |
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