| Theme | Can we change to treat for diminutive colorectal polyp ? | |
|---|---|---|
| Title | Colonoscopic polypectomy for diminutive polyps ; hot biopsy forceps polypectomy and cold biopsy forceps polypectomy | |
| Publish Date | 2014/05 | |
| Author | Toshio Uraoka | Department of Gastroenterology, National Hospital Organization Tokyo Medical Center / Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University |
| Author | Takahisa Matsuda | Endoscopy Division, National Cancer Center Hospital |
| Author | Yasushi Sano | Department of Gastroenterology, Sano Hospital |
| Author | Makoto Kobayashi | Department of Gastroenterology, Yokkaichi Municipal Hospitaly |
| Author | Takahiro Fujii | TF Clinic |
| Author | Osamu Goto | Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University |
| Author | Yasutoshi Ochiai | Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University |
| Author | Haruhiko Ogata | Center for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University |
| Author | Naohisa Yahagi | Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University |
| [ Summary ] | Removing diminutive adenomatous polyps, various techniques are utilized using ; cold biopsy forceps, hot biopsy forceps, hot snare, and cold snare were chosen. Since its application to practice, endoscopic resection techniques are generally decided according to polyp characterization. This has been based on size and morphology, though there have also been varied approaches adapted by individual endoscopists. More recently, studies have indicated the safety and efficacy of cold polypectomy techniques for diminutive polyps (≤5 mm) and small polyps (<10 mm) in size. Cold biopsy forceps polypectomy (CBP) is a simple and quick technique allowing complete resection of most diminutive polyps provided that the polypectomy site is assessed using narrow band imaging after water-jet irrigation of the targeted area. In addition, CBP using jumbo biopsy forceps designed with greater capacity for removing larger tissue samples is adequate for removing diminutive polyps safely and completely. | |