What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?: Standard Versus Jumbo Forceps Polypectomy

Different methods such as standard, hot, and jumbo forceps are used in endoscopic treatment of diminutive colon polyps. In the current study, it was aimed to compare efficacy and safety of standard and jumbo forceps polypectomy methods in treatment of diminutive colon polyps of ≤5 mm. Polyps with ≤5...

Descripción completa

Detalles Bibliográficos
Autores principales: Aslan, Fatih, Cekiç, Cem, Camci, Mehmet, Alper, Emrah, Ekinci, Nese, Akpinar, Zehra, Alpek, Serkan, Arabul, Mahmut, Unsal, Belkis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602498/
https://www.ncbi.nlm.nih.gov/pubmed/25881835
http://dx.doi.org/10.1097/MD.0000000000000621
_version_ 1782394731502764032
author Aslan, Fatih
Cekiç, Cem
Camci, Mehmet
Alper, Emrah
Ekinci, Nese
Akpinar, Zehra
Alpek, Serkan
Arabul, Mahmut
Unsal, Belkis
author_facet Aslan, Fatih
Cekiç, Cem
Camci, Mehmet
Alper, Emrah
Ekinci, Nese
Akpinar, Zehra
Alpek, Serkan
Arabul, Mahmut
Unsal, Belkis
author_sort Aslan, Fatih
collection PubMed
description Different methods such as standard, hot, and jumbo forceps are used in endoscopic treatment of diminutive colon polyps. In the current study, it was aimed to compare efficacy and safety of standard and jumbo forceps polypectomy methods in treatment of diminutive colon polyps of ≤5 mm. Polyps with ≤5 mm which were excised during colonoscopy by using standard or jumbo forceps were evaluated. Standard and jumbo forceps polypectomy methods were randomly performed in 212 consecutive patients with diminutive colorectal polyp. One-bite polypectomy and complete resection rates were also determined among polypectomy methods. Results of 161 standard forceps polypectomy and 102 jumbo forceps polypectomy were retrospectively evaluated. Both one-bite polypectomy and complete resection rates were significantly higher in the jumbo forceps polypectomy group than the standard forceps polypectomy group (P < 0.001). In the subgroup analysis performed according to polyp sizes, complete resection rate among polyps with 3-mm diameter was determined as 100%. However, numbers of bites in 4-mm and 5-mm polyps were higher in the standard forceps polypectomy group, and complete resection rate was lower than in the jumbo forceps polypectomy group (P < 0.001). Both endoscopic treatment methods may be employed in treatment of diminutive colon polyps with ≤5 mm. However, jumbo forceps polypectomy is a more effective treatment method in 4- to 5-mm polyps with high one-bite polypectomy and complete resection rate.
format Online
Article
Text
id pubmed-4602498
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Wolters Kluwer Health
record_format MEDLINE/PubMed
spelling pubmed-46024982015-10-27 What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?: Standard Versus Jumbo Forceps Polypectomy Aslan, Fatih Cekiç, Cem Camci, Mehmet Alper, Emrah Ekinci, Nese Akpinar, Zehra Alpek, Serkan Arabul, Mahmut Unsal, Belkis Medicine (Baltimore) 4500 Different methods such as standard, hot, and jumbo forceps are used in endoscopic treatment of diminutive colon polyps. In the current study, it was aimed to compare efficacy and safety of standard and jumbo forceps polypectomy methods in treatment of diminutive colon polyps of ≤5 mm. Polyps with ≤5 mm which were excised during colonoscopy by using standard or jumbo forceps were evaluated. Standard and jumbo forceps polypectomy methods were randomly performed in 212 consecutive patients with diminutive colorectal polyp. One-bite polypectomy and complete resection rates were also determined among polypectomy methods. Results of 161 standard forceps polypectomy and 102 jumbo forceps polypectomy were retrospectively evaluated. Both one-bite polypectomy and complete resection rates were significantly higher in the jumbo forceps polypectomy group than the standard forceps polypectomy group (P < 0.001). In the subgroup analysis performed according to polyp sizes, complete resection rate among polyps with 3-mm diameter was determined as 100%. However, numbers of bites in 4-mm and 5-mm polyps were higher in the standard forceps polypectomy group, and complete resection rate was lower than in the jumbo forceps polypectomy group (P < 0.001). Both endoscopic treatment methods may be employed in treatment of diminutive colon polyps with ≤5 mm. However, jumbo forceps polypectomy is a more effective treatment method in 4- to 5-mm polyps with high one-bite polypectomy and complete resection rate. Wolters Kluwer Health 2015-04-17 /pmc/articles/PMC4602498/ /pubmed/25881835 http://dx.doi.org/10.1097/MD.0000000000000621 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 4500
Aslan, Fatih
Cekiç, Cem
Camci, Mehmet
Alper, Emrah
Ekinci, Nese
Akpinar, Zehra
Alpek, Serkan
Arabul, Mahmut
Unsal, Belkis
What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?: Standard Versus Jumbo Forceps Polypectomy
title What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?: Standard Versus Jumbo Forceps Polypectomy
title_full What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?: Standard Versus Jumbo Forceps Polypectomy
title_fullStr What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?: Standard Versus Jumbo Forceps Polypectomy
title_full_unstemmed What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?: Standard Versus Jumbo Forceps Polypectomy
title_short What Is the Most Accurate Method for the Treatment of Diminutive Colonic Polyps?: Standard Versus Jumbo Forceps Polypectomy
title_sort what is the most accurate method for the treatment of diminutive colonic polyps?: standard versus jumbo forceps polypectomy
topic 4500
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602498/
https://www.ncbi.nlm.nih.gov/pubmed/25881835
http://dx.doi.org/10.1097/MD.0000000000000621
work_keys_str_mv AT aslanfatih whatisthemostaccuratemethodforthetreatmentofdiminutivecolonicpolypsstandardversusjumboforcepspolypectomy
AT cekiccem whatisthemostaccuratemethodforthetreatmentofdiminutivecolonicpolypsstandardversusjumboforcepspolypectomy
AT camcimehmet whatisthemostaccuratemethodforthetreatmentofdiminutivecolonicpolypsstandardversusjumboforcepspolypectomy
AT alperemrah whatisthemostaccuratemethodforthetreatmentofdiminutivecolonicpolypsstandardversusjumboforcepspolypectomy
AT ekincinese whatisthemostaccuratemethodforthetreatmentofdiminutivecolonicpolypsstandardversusjumboforcepspolypectomy
AT akpinarzehra whatisthemostaccuratemethodforthetreatmentofdiminutivecolonicpolypsstandardversusjumboforcepspolypectomy
AT alpekserkan whatisthemostaccuratemethodforthetreatmentofdiminutivecolonicpolypsstandardversusjumboforcepspolypectomy
AT arabulmahmut whatisthemostaccuratemethodforthetreatmentofdiminutivecolonicpolypsstandardversusjumboforcepspolypectomy
AT unsalbelkis whatisthemostaccuratemethodforthetreatmentofdiminutivecolonicpolypsstandardversusjumboforcepspolypectomy