Original Article

Cold snare polypectomy versus hot snare polypectomy in endoscopic treatment of small polyps

Volume 25 · Issue 3 Publish Date: June 15, 2014
Fatih Aslan Mehmet Camcı Emrah Alper Zehra Akpınar Mahmut Arabul Mustafa Çelik Belkıs Ünsal
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Turkish Journal of Gastroenterology

Volume 25 · Issue 3

Pages: 279-283

History

Published Online: June 15, 2014

Copyright © 2014 Fatih Aslan, Mehmet Camcı, Emrah Alper, Zehra Akpınar, Mahmut Arabul, Mustafa Çelik, Belkıs Ünsal

Fatih Aslan
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Mehmet Camcı
Department of Gastroenterology, Katip Çelebi University Atatürk Research and Training Hospital, İzmir, Turkey
Emrah Alper
Department of Gastroenterology, Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
Zehra Akpınar
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Mahmut Arabul
Department of Gastroenterology, Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
Mustafa Çelik
Department of Gastroenterology, Katip Çelebi University Atatürk Research and Training Hospital, İzmir, Turkey
Belkıs Ünsal
Department of Gastroenterology, Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
Aslan, F., Camcı, M., Alper, E., Akpınar, Z., Arabul, M., Çelik, M., & Ünsal, B. (2014). Cold snare polypectomy versus hot snare polypectomy in endoscopic treatment of small polyps. Turkish Journal of Gastroenterology, 25(3), 279–283. https://doi.org/10.5152/tjg.2014.5085
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Abstract

Abstract Background/Aims: The removal of small colon polyps by hot snare polypectomy (HP) is a commonly used method. Polypectomy with a cold snare (CP) has been increasingly utilized in recent years. Each method has its own advantages and disadvantages. Herein, we explored the efficacy and safety of each method. Materials and Methods: Between January 1, 2012 and June 30, 2012, 97 consecutive patients with small colorectal polyps ranging from 5-9 mm in size were separated into either the CP or HP group. Demographic data, the duration of polypectomy, and pathology reports were recorded. Results: Seventy-seven polyps were removed from 49 patients in the CP group, and 71 polyps were removed from 48 patients in the HP group. There was no significant difference between the groups with respect to gender, age distribution, number of polyps, or indications for colonoscopy. The mean polyp size was 7.21±1.4 mm in the CP group and 7.56±1.45 mm in the HP group (p=0.111). There was a significant difference in the mean procedure time between the two groups (CP, 25.71±4.3 sec; HP, 70.28±11.3 sec, p<0.001). One patient (1.3/1.4%) from each group developed post-polypectomy bleeding that required treatment. Histological evaluation revealed that 10 of the polyps (6.75%) were advanced adenomas. Pathological examination showed that the polyps were not completely removed in 4 patients (5.13%) in the CP group and 4 patients (5.63%) in the HP group (p=0.89). Conclusion: CP is an effective and safe method that shortens the polypectomy duration in small polyps (≤9 mm) compared to HP.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 25 · Issue 3
Pages 279-283
DOI 10.5152/tjg.2014.5085
History
Published Online June 15, 2014
Copyright
Copyright (c) 2014 Fatih Aslan, Mehmet Camcı, Emrah Alper, Zehra Akpınar, Mahmut Arabul, Mustafa Çelik, Belkıs Ünsal
Affiliations
Fatih Aslan
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Mehmet Camcı
Department of Gastroenterology, Katip Çelebi University Atatürk Research and Training Hospital, İzmir, Turkey
Emrah Alper
Department of Gastroenterology, Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
Zehra Akpınar
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Mahmut Arabul
Department of Gastroenterology, Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
Mustafa Çelik
Department of Gastroenterology, Katip Çelebi University Atatürk Research and Training Hospital, İzmir, Turkey
Belkıs Ünsal
Department of Gastroenterology, Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
Cite this Article
Aslan, F., Camcı, M., Alper, E., Akpınar, Z., Arabul, M., Çelik, M., & Ünsal, B. (2014). Cold snare polypectomy versus hot snare polypectomy in endoscopic treatment of small polyps. Turkish Journal of Gastroenterology, 25(3), 279–283. https://doi.org/10.5152/tjg.2014.5085
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