Cold snare polypectomy:A closer look at the efficacy and limitations for polyps 10-20 mm in size  

作　　者：Louis A Chaptini Sarah Jalloul Karam Karam 

机构地区：[1]Department of Medicine,Digestive Diseases,Yale School of Medicine,New Haven,CT 06510,United States [2]Department of Medicine,Gastroenterology,University of Balamand,Balamand 100,Lebanon

出　　处：《World Journal of Gastrointestinal Endoscopy》2024年第8期445-450,共6页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：Current guidelines recommend cold snare polypectomy for polyps less than 10 mm in size.Conversely,endoscopic mucosal resection is still the preferred technique for larger polyps.Concerns regarding cold snare polypectomy for larger polyps revolve around the difficulty in conducting en-bloc resection(resulting in piecemeal removal),and the potential for local residual polyp tissue and a high rate of recurrence.On the other hand,cold snare technique has the advantages of shortening procedure time,reducing delayed bleeding risks and lowering cost of treatment.Numerous ongoing and recent studies are focused on evaluating the risks and benefits of this technique for polyps larger than 10 mm,with the goal of providing clear guidelines in the near future.The aim of this editorial is to provide our readers with an overview regarding this subject and the latest developments surrounding it.

关 键 词：Colon polyp POLYPECTOMY Cold snare polypectomy Hot snare polypectomy Endoscopic mucosal resection Sessile serrated lesion ADENOMA 

分 类 号：R61[医药卫生—外科学]