Cold snare endoscopic resection of nonpedunculated ... | 合法醫療器材資訊網

由VTChandrasekar著作·2019·被引用36次—Theresultsofthissystematicreviewandpooledanalysiswereexcellentwithcoldsnareresectionofcolorectalpolyps>10mmintermsofpostpolypectomy ...

Background and aims: Hot snare polypectomy and EMR are the standard of care in resecting colorectal polyps ≥10 mm. To avoid the risk of electrocautery-induced damage, there is recent evidence about using cold snare polypectomy and cold EMR for such lesions. The aim of this pooled analysis is to report outcomes of cold snare resection for polyps ≥10 mm.

Methods: PubMed/Medline, Embase, Google Scholar, and Cochrane databases were searched up to July 2018 to identify studies that performed cold snare resection for colorectal polyps ≥10 mm. Primary outcomes were adverse events (bleeding, perforation, and postpolypectomy abdominal pain), and secondary outcomes were the rates of complete resection, overall residual polyp rates, and rates for adenomas versus sessile serrated polyps (SSPs). Subgroup analysis was performed focusing on lesion size, location, and resection technique.

Results: ...