Cargando…
The Influence of Snare Size on the Utility and Safety of Cold Snare Polypectomy for the Removal of Colonic Polyps in Japanese Patients
BACKGROUND: Cold snare polypectomy (CSP) has been recently reported to be useful for the removal of small colonic polyps. However, the relationship between the histologically complete resection rate and snare size used during CSP has not been reported. Our aim was to assess the utility of CSP. METHO...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4974836/ https://www.ncbi.nlm.nih.gov/pubmed/27540440 http://dx.doi.org/10.14740/jocmr2646w |
_version_ | 1782446621250813952 |
---|---|
author | Noda, Hisatsugu Ogasawara, Naotaka Sugiyama, Tomoya Yoshimine, Takashi Tamura, Yasuhiro Izawa, Shinya Kondo, Yoshihiro Ebi, Masahide Funaki, Yasushi Sasaki, Makoto Kasugai, Kunio |
author_facet | Noda, Hisatsugu Ogasawara, Naotaka Sugiyama, Tomoya Yoshimine, Takashi Tamura, Yasuhiro Izawa, Shinya Kondo, Yoshihiro Ebi, Masahide Funaki, Yasushi Sasaki, Makoto Kasugai, Kunio |
author_sort | Noda, Hisatsugu |
collection | PubMed |
description | BACKGROUND: Cold snare polypectomy (CSP) has been recently reported to be useful for the removal of small colonic polyps. However, the relationship between the histologically complete resection rate and snare size used during CSP has not been reported. Our aim was to assess the utility of CSP. METHODS: We analyzed the histologically complete resection rates and the frequency of complications for 175 colon polyps removed by CSP. Moreover, we examined the histologically complete resection rate associated with different snare sizes used during CSP. RESULTS: There was no significant difference in the histologically complete resection rate between endoscopic mucosal resection (EMR) (60.9%) and CSP (53.1%). There were also no significant differences in the frequency of complications including perforation and postoperative bleeding between EMR (perforation: none; postoperative bleeding: two patients) and CSP (perforation: none; postoperative bleeding: none). Histological examination revealed that the complete resection rate of CSP using a short snare (61.6%) was significantly higher than that of CSP using a long snare (44.9%; P < 0.05). There were no significant differences in the frequency of complications between CSP using the short snare and that using the long snare. CONCLUSIONS: CSP is a safe, useful method for the removal of colonic polyps. CSP using the short snare improved the histologically complete resection rates compared to the long snare. Future studies to further assess the utility of CSP are required. |
format | Online Article Text |
id | pubmed-4974836 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-49748362016-08-18 The Influence of Snare Size on the Utility and Safety of Cold Snare Polypectomy for the Removal of Colonic Polyps in Japanese Patients Noda, Hisatsugu Ogasawara, Naotaka Sugiyama, Tomoya Yoshimine, Takashi Tamura, Yasuhiro Izawa, Shinya Kondo, Yoshihiro Ebi, Masahide Funaki, Yasushi Sasaki, Makoto Kasugai, Kunio J Clin Med Res Original Article BACKGROUND: Cold snare polypectomy (CSP) has been recently reported to be useful for the removal of small colonic polyps. However, the relationship between the histologically complete resection rate and snare size used during CSP has not been reported. Our aim was to assess the utility of CSP. METHODS: We analyzed the histologically complete resection rates and the frequency of complications for 175 colon polyps removed by CSP. Moreover, we examined the histologically complete resection rate associated with different snare sizes used during CSP. RESULTS: There was no significant difference in the histologically complete resection rate between endoscopic mucosal resection (EMR) (60.9%) and CSP (53.1%). There were also no significant differences in the frequency of complications including perforation and postoperative bleeding between EMR (perforation: none; postoperative bleeding: two patients) and CSP (perforation: none; postoperative bleeding: none). Histological examination revealed that the complete resection rate of CSP using a short snare (61.6%) was significantly higher than that of CSP using a long snare (44.9%; P < 0.05). There were no significant differences in the frequency of complications between CSP using the short snare and that using the long snare. CONCLUSIONS: CSP is a safe, useful method for the removal of colonic polyps. CSP using the short snare improved the histologically complete resection rates compared to the long snare. Future studies to further assess the utility of CSP are required. Elmer Press 2016-09 2016-07-30 /pmc/articles/PMC4974836/ /pubmed/27540440 http://dx.doi.org/10.14740/jocmr2646w Text en Copyright 2016, Noda et al. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Noda, Hisatsugu Ogasawara, Naotaka Sugiyama, Tomoya Yoshimine, Takashi Tamura, Yasuhiro Izawa, Shinya Kondo, Yoshihiro Ebi, Masahide Funaki, Yasushi Sasaki, Makoto Kasugai, Kunio The Influence of Snare Size on the Utility and Safety of Cold Snare Polypectomy for the Removal of Colonic Polyps in Japanese Patients |
title | The Influence of Snare Size on the Utility and Safety of Cold Snare Polypectomy for the Removal of Colonic Polyps in Japanese Patients |
title_full | The Influence of Snare Size on the Utility and Safety of Cold Snare Polypectomy for the Removal of Colonic Polyps in Japanese Patients |
title_fullStr | The Influence of Snare Size on the Utility and Safety of Cold Snare Polypectomy for the Removal of Colonic Polyps in Japanese Patients |
title_full_unstemmed | The Influence of Snare Size on the Utility and Safety of Cold Snare Polypectomy for the Removal of Colonic Polyps in Japanese Patients |
title_short | The Influence of Snare Size on the Utility and Safety of Cold Snare Polypectomy for the Removal of Colonic Polyps in Japanese Patients |
title_sort | influence of snare size on the utility and safety of cold snare polypectomy for the removal of colonic polyps in japanese patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4974836/ https://www.ncbi.nlm.nih.gov/pubmed/27540440 http://dx.doi.org/10.14740/jocmr2646w |
work_keys_str_mv | AT nodahisatsugu theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT ogasawaranaotaka theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT sugiyamatomoya theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT yoshiminetakashi theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT tamurayasuhiro theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT izawashinya theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT kondoyoshihiro theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT ebimasahide theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT funakiyasushi theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT sasakimakoto theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT kasugaikunio theinfluenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT nodahisatsugu influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT ogasawaranaotaka influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT sugiyamatomoya influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT yoshiminetakashi influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT tamurayasuhiro influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT izawashinya influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT kondoyoshihiro influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT ebimasahide influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT funakiyasushi influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT sasakimakoto influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients AT kasugaikunio influenceofsnaresizeontheutilityandsafetyofcoldsnarepolypectomyfortheremovalofcolonicpolypsinjapanesepatients |