Cold Snare Resection in the Colorectum: When to Choose it, When to Avoid it, and How to Do it.

Cold snare resection colon polyps colonoscopy rectal polyps

Journal

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
ISSN: 1542-7714
Titre abrégé: Clin Gastroenterol Hepatol
Pays: United States
ID NLM: 101160775

Informations de publication

Date de publication:
23 Sep 2024
Historique:
received: 26 06 2024
revised: 27 07 2024
accepted: 08 08 2024
medline: 26 9 2024
pubmed: 26 9 2024
entrez: 25 9 2024
Statut: aheadofprint

Résumé

Cold snaring is now the preferred resection method for the majority of colorectal polyps encountered during colonoscopy. A key advantage of cold resection over resection utilizing electrocautery is a substantially lower risk of delayed hemorrhage. Cold snare resection is preferred for all lesions ≤ 10 mm and for non-dysplastic sessile serrated lesions of any size, but should be avoided when lesions have a significant risk of submucosal invasion or fibrosis. Cold snare resection can be considered for certain lesions 11-19 mm in size and some lateral spreading lesions ≥ 20 mm. This review discusses tips and techniques to optimize cold snare resection.

Identifiants

pubmed: 39321950
pii: S1542-3565(24)00830-9
doi: 10.1016/j.cgh.2024.08.030
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier Inc.

Auteurs

John J Guardiola (JJ)

Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN. Electronic address: joguar@iu.edu.

Joseph C Anderson (JC)

Section of Gastroenterology, Geisel School of Medicine at Dartmouth, Hanover, NH; White River Junction VA Medical Center, White River Junction, VT.

Tonya Kaltenbach (T)

Division of Gastroenterology, University of California San Francisco, San Francisco, CA; San Francisco VA Medical Center, San Francisco, CA.

Heiko Pohl (H)

Section of Gastroenterology, Geisel School of Medicine at Dartmouth, Hanover, NH; White River Junction VA Medical Center, White River Junction, VT.

Douglas K Rex (DK)

Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN.

Classifications MeSH