Arquivos de Gastroenterologia (Nov 2023)

COLD SNARE POLYPECTOMY: A SAFE PROCEDURE FOR REMOVING SMALL NON-PEDUNCULATED COLORECTAL LESIONS

  • Carlos Eduardo Oliveira Dos SANTOS,
  • Daniele MALAMAN,
  • Ivan David Arciniegas SANMARTIN,
  • Ari Ben-Hur Stefani LEÃO,
  • Isadora Zanotelli BOMBASSARO,
  • Júlio Carlos PEREIRA-LIMA

DOI
https://doi.org/10.1590/s0004-2803.23042023-115
Journal volume & issue
Vol. 60, no. 4
pp. 470 – 477

Abstract

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ABSTRACT Background: Polypectomy is an important treatment option for preventing colorectal cancer. Incomplete polyp resection (IPR) is recognized as a risk factor for interval cancer. Objective: The primary objective was to evaluate the complete polyp resection (CPR) rate for cold snare polypectomy (CSP) in small non-pedunculated polyps and, secondarily, specimen retrieval and complication rates. Methods: We prospectively evaluated 479 polyps 30 s) occurred in 1 case (0.2%), treated with argon plasma coagulation. No delayed bleeding or perforation occurred. Conclusion: CSP is a safe technique that provides good results for the resection of small non-pedunculated polyps, with a short learning curve.

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