Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2022; 10(19): 6446-6455
Published online Jul 6, 2022. doi: 10.12998/wjcc.v10.i19.6446
Effect of cold snare polypectomy for small colorectal polyps
Qing-Qing Meng, Min Rao, Pu-Jun Gao
Qing-Qing Meng, Min Rao, Department of Hepatology and Gastroenterology, The Second Part of First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Pu-Jun Gao, Department of Hepatology, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Meng QQ, Rao M and Gao PJ have all participated in the design of this study; Meng QQ and Gao PJ were responsible for analyzing and processing the data; Rao M collected the data in this study; Meng QQ wrote the manuscript, and Gao PJ made the final revision to the manuscript; all the authors have read and approved the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of the First Hospital of Jilin University.
Informed consent statement: All study participants, or their legal guardian, had provided verbal consent prior to study enrollment.
Conflict-of-interest statement: Meng QQ, Rao M, Gao PJ are employees of the First Hospital of Jilin University.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Pu-Jun Gao, PhD, Full Professor, Department of Hepatology, The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin Province, China. gpj@jlu.edu.cn
Received: January 24, 2022
Peer-review started: January 24, 2022
First decision: April 7, 2022
Revised: April 29, 2022
Accepted: June 15, 2022
Article in press: June 15, 2022
Published online: July 6, 2022
Processing time: 151 Days and 2 Hours
Abstract
BACKGROUND

Colorectal cancer remains a considerable challenge in healthcare nowadays. Approximately 60%-80% of colorectal cancer is caused by intestinal polyps, and resection of intestinal polyps has been proved to reduce the incidence of colorectal cancer. The vast majority of intestinal polyps can be found during colonoscopy and removed endoscopically. Therefore, more attention has been paid to the development of endoscopic resection of intestinal polyps. In this study, we compared the efficacy and safety of cold snare polypectomy (CSP) and hot snare polypectomy (HSP).

AIM

To investigate the efficacy and safety of CSP and HSP for colorectal polyps.

METHODS

Between January and December 2020, 301 patients with colorectal polyps 4-9 mm in diameter were treated with endoscopic therapy in our hospital, and were divided into the CSP group (n = 154) and HSP group (n = 147). The operating time, incidence of bleeding and perforation, use of titanium clips, and complete resection rate were compared between the two groups.

RESULTS

We included 249 patients (301 polyps). No differences in gender, age, and polyp size, location, shape and type were observed between the CSP and HSP groups, and the resection rates in these two groups were 93.4% and 94.5%, respectively, with no significant difference. The use of titanium clips was 15.6% and 95.9%, the operating time was 3.2 ± 0.5 min and 5.6 ± 0.8 min, the delayed bleeding rate was 0% and 2.0%, and delayed perforation was 0% and 0.7%, in the CSP and HSP groups, respectively.

CONCLUSION

For sessile colorectal polyps < 10 mm, CSP had the same resection rate of impaired tissue integrity as traditional HSP had. The rate of complications was lower in the CSP group. CSP is a safe and effective method for polypectomy.

Keywords: Colorectal polyps, Cold snare polypectomy, Hot snare polypectomy, Complete polypectomy rate, Immediate bleeding, Delayed bleeding

Core Tip: This is an article about polypectomy for small colorectal polyps, and this is a retrospective study. The objective of this study is to investigate the efficacy and safety of cold snare polypectomy and hot snare polypectomy in the treatment of colorectal polyps with a diameter of 4-9 mm.