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Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
Published on: August 2, 2024
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Polypectomy for complete endoscopic resection of small colorectal polyps.
Qisheng Zhang1, Peng Gao1, Bin Han1
1Digestive Endoscopy Center, Department of Gastroenterology and Hepatology, Branch of Shanghai First People's Hospital, Jiaotong University, Shanghai, China.
Gastrointestinal Endoscopy
|June 26, 2017
Summary
Endoscopic mucosal resection (EMR) is more effective than cold snare polypectomy (CSP) for completely removing small colorectal polyps. Piecemeal resection increases the risk of incomplete polyp removal.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
- Colorectal Cancer Prevention
Background:
- Small colorectal polyps are common and may be incompletely removed during colonoscopy.
- The optimal endoscopic technique for small polyp resection remains uncertain.
Purpose of the Study:
- To compare the incomplete resection rate (IRR) of endoscopic mucosal resection (EMR) versus cold snare polypectomy (CSP) for small adenomatous colorectal polyps.
Main Methods:
- A prospective randomized controlled trial involving 358 patients with 6-9 mm polyps.
- Patients were randomized to EMR (n=179) or CSP (n=179).
- Incomplete resection was assessed by additional biopsies at the resection site.
Main Results:
- The overall IRR for adenomatous polyps was significantly higher with CSP (8.5%) compared to EMR (1.5%).
- CSP (OR 6.924) and piecemeal resection (OR 28.696) were significant risk factors for IRR.
- Procedure times and adverse events were similar between groups.
Conclusions:
- EMR demonstrated superior efficacy in achieving complete endoscopic resection of small colorectal polyps compared to CSP.
- Piecemeal resection significantly increases the risk of incomplete polyp resection.
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