| Theme | Cold polypectomy : Merits and demerits | |
|---|---|---|
| Title | Technical points of cold forceps polypectomy and cold snare polypectomy | |
| Publish Date | 2016/09 | |
| Author | Makoto Kobayashi | Department of Gastroenterology, Yokkaichi Municipal Hospital |
| Author | Arata Kobayashi | Department of Gastroenterology, Yokkaichi Municipal Hospital |
| Author | Jun Ninomiya | Department of Gastroenterology, Yokkaichi Municipal Hospital |
| Author | Masanari Kumagai | Department of Gastroenterology, Yokkaichi Municipal Hospital |
| Author | Tadashi Maegawa | Department of Gastroenterology, Yokkaichi Municipal Hospital |
| Author | Makoto Yamawaki | Yamawaki Clinic |
| Author | Yasushi Sugiura | Sugiura Clinic |
| Author | Kouzou Kuwabara | Department of Gastroenterology, Yokkaichi Municipal Hospital |
| Author | Motoyoshi Yano | Department of Gastroenterology, Yokkaichi Municipal Hospital |
| [ Summary ] | Cold polypectomy is usually a simple technique, but special care must be taken in certain circumstances. When undertaking Cold Forceps Polypectomy (CFP) using jumbo forceps, it is important to adjust the jaws such that they are partly open and match the polyp diameter, and to rotate the forceps completely from the handle. If the polyp is larger than the tip of the jumbo forceps, it is recommended to resect it twice. In cold snare polypectomy (CSP), peripheral normal mucosa should be resected, and in rare cases can result in delayed bleeding. It is possible to stop initial bleeding by forceps grasping or by re-snaring the area with surrounding mucosa. The pressure applied using these techniques promotes coagulation and thus hemostasis. |
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