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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Main Authors: Thiruvengadam Muniraj, Ara Sahakian, Maria M. Ciarleglio, Yanhong Deng, Harry R. Aslanian
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2015/175959
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author Thiruvengadam Muniraj
Ara Sahakian
Maria M. Ciarleglio
Yanhong Deng
Harry R. Aslanian
author_facet Thiruvengadam Muniraj
Ara Sahakian
Maria M. Ciarleglio
Yanhong Deng
Harry R. Aslanian
author_sort Thiruvengadam Muniraj
collection DOAJ
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.
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institution Kabale University
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series Gastroenterology Research and Practice
spelling doaj-art-61d13a7ac8884d6e9b749925a16d73e82025-02-03T01:22:59ZengWileyGastroenterology 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
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
title 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_short 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
url http://dx.doi.org/10.1155/2015/175959
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