Su1734 Randomized Control Trial: Cold SNARE Polypectomy Versus Hot SNARE Polypectomy in Endoscopic Resection of Large Polyps

Pillai, Ajish; Zuchelli, Tobias; Piraka, Cyrus; Ringold, Daniel A.; Morgenstern, Ricardo

doi:10.1016/j.gie.2016.03.1046

Cited by 2 publications

(3 citation statements)

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“…Another 122 irrelevant articles were excluded based on the titles and abstracts. After the eight full texts of remaining articles and six remaining abstracts were reviewed, two meeting abstracts were excluded for insufficient data. Finally, 12 randomized controlled trials (RCTs) were included in our meta‐analysis, including eight full texts of articles and four meeting abstracts …”

Section: Resultsmentioning

confidence: 99%

Effectiveness and safety of cold versus hot snare polypectomy: A meta‐analysis

Jian

et al. 2018

J of Gastro and Hepatol

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Section: Resultsmentioning

confidence: 99%

Effectiveness and safety of cold versus hot snare polypectomy: A meta‐analysis

Jian

et al. 2018

J of Gastro and Hepatol

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“…One study included polyps ranging from 5 to 20 mm, but only data for polyps measuring >10 mm were included in the analysis [29]. The remaining two studies exclusively included polyps 10-20 mm [30,31].…”

Section: Resultsmentioning

confidence: 99%

“…A total of 1,193 polypectomies were included in this analysis: 485 CSP and 708 HSP. The total number of patients specified by two studies (Ket et al [30] and Pillai et al [31]) was 532. Two studies (Ket et al [30] and Gessl et al [29]) reported the histology of polyps as follows: a total of 352 sessile serrated adenomas (SSA; 156 HSP and 196 CSP) and 763 tubular adenomas (540 HSP and 223 CSP).…”

Section: Resultsmentioning

confidence: 99%

The Safety of Cold Versus Hot Snare Polypectomy in Polyps 10-20 mm: A Systematic Review and Meta-Analysis

Ali,

Khetpal,

Fatima

et al. 2024

Cureus

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Colonoscopy remains the primary method for preventing colorectal cancer. Traditionally, hot snare polypectomy (HSP) was the method of choice for removing polyps larger than 5 mm. Yet, for polyps smaller than 10 mm, cold snare polypectomy (CSP) has become the favored approach. Lately, the use of CSP has expanded to include the removal of sessile polyps that are between 10 and 20 mm in size. Our systematic review and meta-analysis aimed to evaluate the safety of cold snare polypectomy (CSP) compared to hot snare polypectomy (HSP) for resecting polyps measuring 10-20 mm. We searched the Medical Literature Analysis and Retrieval System Online (MEDLINE), Embase, and Cochrane databases up to April 2020 to find studies that directly compared CSP to HSP for polyps larger than 10 mm. Our main focus was on assessing the risk of delayed bleeding after polypectomy; a secondary focus was the incidence of any adverse events that required medical intervention post procedure. Our search yielded three comparative studies, two observational studies, and one randomized controlled trial (RCT), together encompassing 1,193 polypectomy procedures. Of these, 485 were performed using CSP and 708 with HSP. The pooled odds ratio (OR) for post-polypectomy bleeding (PPB) was 0.36 (95% confidence interval {CI}: 0.02, 7.13), with a Cochran Q test P-value of 0.11 and an I 2 of 53%. For the risk of any adverse events necessitating medical care, the pooled OR was 0.15 (95% CI: 0.01, 2.29), with a Cochran Q test P-value of 0.21 and an I 2 of 35%. The quality of the two observational studies was deemed moderate, and the RCT was only available in abstract form, preventing quality assessment. Our analysis suggests that there is no significant difference in the incidence of delayed post-polypectomy bleeding or other adverse events requiring medical attention between CSP and HSP for polyps measuring 10-20 mm.

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Su1734 Randomized Control Trial: Cold SNARE Polypectomy Versus Hot SNARE Polypectomy in Endoscopic Resection of Large Polyps

Cited by 2 publications

References 0 publications

Effectiveness and safety of cold versus hot snare polypectomy: A meta‐analysis

Effectiveness and safety of cold versus hot snare polypectomy: A meta‐analysis

The Safety of Cold Versus Hot Snare Polypectomy in Polyps 10-20 mm: A Systematic Review and Meta-Analysis

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