M1523: Quality Colonoscopy: Midterm Results of a Qualitative Comparison of Cold Snare Versus Cold Biopsy Forceps for the Resection of Colonic Polyps

Gonzalez, Ingrid; Riley, Dana E.; Ho, Samuel B.; Krinsky, Mary Lee

doi:10.1016/j.gie.2010.03.523

Cited by 8 publications

(9 citation statements)

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“…However, we assumed that the unlimi ted number of biopsies would not be consistent with current practice . The use of jumbo biopsy forceps may be another practical solution for effective forceps polypectomy ( 18,22 ). A recent randomized controlled study reported that the rate of complete visual eradication with one forceps bite was significantly higher in the jumbo-forceps group than in the standard large-capacity forceps group (78.8 % vs. 50.7 % , P < 0.001, respectively) for the removal of small ( ≤ 6 mm), sessile, colorectal polyps ( 22 ).…”

Section: Discussionmentioning

confidence: 99%

Cold Snare Polypectomy Vs. Cold Forceps Polypectomy Using Double-Biopsy Technique for Removal of Diminutive Colorectal Polyps: A Prospective Randomized Study

Lee

Shim

Jang

2013

American Journal of Gastroenterology

213

206

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Section: Discussionmentioning

confidence: 99%

Cold Snare Polypectomy Vs. Cold Forceps Polypectomy Using Double-Biopsy Technique for Removal of Diminutive Colorectal Polyps: A Prospective Randomized Study

Lee

Shim

Jang

2013

American Journal of Gastroenterology

213

206

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“…Cold snare technique has a reported complete excision rate of 86–89% . We determined that at least 56 patients per group would be required comparing the two snares with an α‐value of 0.05 and a power of 80%.…”

Section: Methodsmentioning

confidence: 99%

“…Resection techniques should therefore be both safe and effective. Whereas many studies have shown that removal of small polyps is safe, residual or recurrent tissue may be found in 29–61% following removal with biopsy forceps and 3–14% following snare polypectomy . This is of importance as interval cancer rates of 10–27% have been associated with incomplete polyp resection .…”

Section: Introductionmentioning

confidence: 99%

Cold snare polypectomy: Does snare type influence outcomes?

Din

Ball

Riley

et al. 2015

Digestive Endoscopy

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“…Of the four included articles, three were RCTs 6 7 8 , with one study as abstract only data 7 and one was a retrospective cohort study ( Table 1 ) 12 . One of the studies 7 had a non-inferiority study design while the others seemed to have followed convenience sampling.…”

Section: Resultsmentioning

confidence: 99%

“…Recently, some studies 6 7 8 have been published examining JBF to CSP for efficacy in diminutive polyp resection. However, variable rates have been reported, and it remains unclear which method is better.…”

Section: Introductionmentioning

confidence: 99%

Is jumbo biopsy forceps comparable to cold snare for diminutive colorectal polyps? – a meta-analysis

2021

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Background and study aims Diminutive colorectal polyps are increasingly being detected and it is not clear whether jumbo biopsy forceps (JBF) has comparable efficacy to that of cold snare polypectomy (CSP) for management of these lesions. Methods An electronic literature search was performed for studies comparing resection rates of JBF and CSP for diminutive polyps (≤ 5 mm). The primary outcome was incomplete resection rate (IRR). Secondary outcomes included failure of tissue retrieval and complication rates (post-polypectomy bleeding, perforation etc.). Leave-one-out analysis was performed to examine the disproportionate role of any of the studies. Meta-analysis outcomes and heterogeneity (I2) were computed using Comprehensive meta-analysis software. Results A total of 4 studies (3 randomized controlled trials and 1 retrospective study) with 407 patients and 569 total polyps (mean size of 3.62 mm) was included for analysis. IRR of JBF was slightly higher than that of CSP (10.2 % vs 7.2 %) but this was not statistically significantly different (Pooled OR 1.76; 95 % CI 0.94–3.28; I2 = 0). Leave-one-out analysis showed no significant difference in the pooled OR comparison either. Two of the 4 studies reported 0 % failure of tissue retrieval for JBF and 1 % and 4.3 % for CSP. There were no complications for either group from the 2 studies that reported this outcome. The quality of the included studies was moderate to high. Conclusions This systematic review with only limited data shows that JBF and CSP are not statistically different in completely removing diminutive polyps, although careful endoscopic assessment is needed to ensure complete removal of all polyp tissue.

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M1523: Quality Colonoscopy: Midterm Results of a Qualitative Comparison of Cold Snare Versus Cold Biopsy Forceps for the Resection of Colonic Polyps

Cited by 8 publications

References 0 publications

Cold Snare Polypectomy Vs. Cold Forceps Polypectomy Using Double-Biopsy Technique for Removal of Diminutive Colorectal Polyps: A Prospective Randomized Study

Cold Snare Polypectomy Vs. Cold Forceps Polypectomy Using Double-Biopsy Technique for Removal of Diminutive Colorectal Polyps: A Prospective Randomized Study

Cold snare polypectomy: Does snare type influence outcomes?

Is jumbo biopsy forceps comparable to cold snare for diminutive colorectal polyps? – a meta-analysis

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