Effectiveness and safety of different methods of removal of medium —sized benign colorectal polyps using cold snare polypectomy

Tashkinov AN, Pyrkh AV, Nikitin ON, Parchaikina YuA, Karimov AV, Tashkinov NV, Fedorov ED. Effectiveness and safety of different methods of removal of medium —sized benign colorectal polyps using cold snare polypectomy. Endoscopic Surgery. 2024;30(4):29‑36. (In Russ.)
https://doi.org/10.17116/endoskop20243004129

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)

Использование инфографики авторами научных работ

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BACKGROUND

The study is devoted to assess the efficacy and safety of the hot snare polypectomy (endoscopic mucosal resection) and cold snare polypectomy of medium-sized non-pedunculated colorectal polyps during outpatient colonoscopy.

OBJECTIVE

To study the results of hot snare polypectomy and cold snare polypectomy of 10—15 mm non-pedunculated colorectal polyps during outpatient colonoscopy.

MATERIAL AND METHODS

We retrospectively reviewed the medical records of 109 patients with 123 non-pedunculated colorectal polyps from 10 to 15 mm in diameter that were removed by hot snare polypectomy (65) or cold snare polypectomy (58) between January 2017 and December 2022 during outpatient colonoscopy. There was no significant difference (p>0.05) in gender and average age of patients, localization, average size, macroscopic and histological structure of colorectal polyps, en-bloc resection rate and R0 resection rate.

RESULTS

The complication rate was significantly higher in the hot snare polypectomy group than in the cold snare polypectomy group (12.70% vs. 2.17%, p<0.05).

CONCLUSION

Cold snare polypectomy is as well effective and significantly more safe method of removing of 10—15 mm non-pedunculated colorectal polyps compared to hot snare polypectomy.

Keywords:

colorectal polyps

adverse events

cold snare polypectomy

hot snare polypectomy

complete resection rates

out-patient colonoscopy

Authors:

Tashkinov A.N.

Consultative and Diagnostic Center «Viveya»

ORCID: 0000-0003-4880-2769

Pyrkh A.V.

Consultative and Diagnostic Center «Viveya»;
Far Eastern State Medical University

ORCID: 0000-0003-2688-3369

Nikitin O.N.

Consultative and Diagnostic Center «Viveya»;
Far Eastern State Medical University

ORCID: 0000-0002-7160-769X

Parchaikina Yu.A.

Consultative and Diagnostic Center «Viveya»

ORCID: 0000-0002-5518-9408

Karimov A.V.

Consultative and Diagnostic Center «Viveya»

ORCID: 0009-0002-8371-1926

Tashkinov N.V.

Far Eastern State Medical University

ORCID: 0000-0001-7473-1250

Fedorov E.D.

Far Eastern State Medical University;
Pirogov Russian National Research Medical University

ORCID: 0000-0002-5224-0474

Received:

13.07.2023

Accepted:

12.09.2023

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