Efficacy and safety of three different endoscopic methods in treatment of 6-20 mm colorectal polyps.

Scandinavian Journal of Gastroenterology
Dazhou LiDonggui Hong

Abstract

Objective: Endoscopic resection of colorectal polyps is widely established as the optimal method to manage precancerous lesions. But the optimal technique for removal of the polyps is uncertain. The aim of this study was to compare the efficacy and safety of three methods for the management of 6-20mm colorectal polyps.Methods: A prospective, randomised controlled trial was conducted at the 900TH Hospital of Joint Logistics Support Force in Fujian, China. Endoscopically diagnosed colorectal polyps, 6-20 mm in size, were randomly assigned to the cold snare polypectomy (CSP), cold snare endoscopic mucosal resection (CS-EMR) or endoscopic mucosal resection (EMR) group. After polypectomy, additional 3-5 forceps biopsies by leading narrow-band imaging (NBI) were performed at the base and margins of polypectomy sites to assess the presence of residual polyp tissue and all samples were sent for histopathological analysis to assess completeness of resection. Polypectomy timing, tissue retrieval and complications were recorded at the time of the procedure.Results: A total of 781 polyps in 404 patients were assessed and randomly assigned to each group. Of these, 763 polyps were finally analyzed based on the pathology results. The complete...Continue Reading

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Citations

Dec 4, 2020·World Journal of Clinical Cases·Lu YuWei Chen
Feb 10, 2021·Clinical Endoscopy·Ji Hyun Song, Shai Friedland
Jul 30, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yoji TakeuchiRyu Ishihara

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