| Theme | Update on Management of Colorectal Polyp | |
|---|---|---|
| Title | Pros and Cons of Cold Snare Polypectomy and Hot Snare Polypectomy | |
| Publish Date | 2019/08 | |
| Author | Ko Nakata | Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine |
| Author | Shiko Kuribayashi | Division of Endoscopy, Gunma University Hospital |
| Author | Masashi Sekiya | Department of Gastroenterology and Hepatology, Gunma University Hospital |
| Author | Hirohito Tanaka | Department of Gastroenterology and Hepatology, Gunma University Hospital |
| Author | Yasuyuki Shimoyama | Division of Endoscopy, Gunma University Hospital |
| Author | Toshio Uraoka | Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine |
| [ Summary ] | Endoscopic polypectomy for colorectal adenoma is important in reducing the incidence and mortality of colorectal cancer. Hot snare polypectomy (HSP) has historically been performed for colorectal polyps. Recently, cold snare polypectomy (CSP) without the use of electrocautery is spreading because its advantages have been publicized, a low risk for the patients during antithrombotic drug use, lower risk of complications, and lower cost of CSP. Cold polypectomy is a very excellent procedure from the point of view of safety and the utility. However, each lesion must be assessed, and a lesion that does not meet CSP criteria will be given HSP as before. It is important that we understand the pros and cons in each procedure, and that we choose appropriate procedures depending on a lesion. |
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