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Standardisation of polypectomy technique.

Alan Moss¹, Kumanan Nalankilli¹

¹Gastroenterology Department, Western Health, Melbourne, Australia; Department of Medicine, Melbourne Medical School - Western Precinct, The University of Melbourne, St. Albans, Victoria, Australia.

Best Practice & Research. Clinical Gastroenterology

|August 27, 2017

Summary

New guidelines standardize endoscopic polypectomy techniques. Cold snare polypectomy is preferred for small polyps, while hot snare or piecemeal cold snare techniques are used for larger ones, avoiding older methods like hot biopsy forceps.

Keywords:

Cold snare Colonoscopy Hot snare Pedunculated Polyp Polypectomy Polyps Sessile

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DIPLOMA Approach for Standardized Pathology Assessment of Distal Pancreatectomy Specimens

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Published on: February 1, 2020

Area of Science:

Gastroenterology
Endoscopic Surgery

Background:

Polypectomy techniques for colorectal polyps vary.
Standardization of polypectomy is needed for improved patient outcomes.

Purpose of the Study:

To outline recent evidence-based advancements in polypectomy techniques.
To provide guidance on the optimal use of different polypectomy methods for various polyp types and sizes.

Main Methods:

Review of recent evidence and expert consensus on polypectomy techniques.
Categorization of techniques based on polyp size, type, and location.
Recommendations for specific tools and procedures.

Main Results:

Cold snare polypectomy (CSP) is recommended for sessile polyps <10 mm.
Hot snare polypectomy (HSP) with submucosal injection for sessile polyps 10-19 mm.
Piecemeal cold snare polypectomy (PCSP) for select 10-19 mm sessile polyps with increased risk.
Avoidance of hot biopsy forceps (HBF) and limited use of cold biopsy forceps (CBF).
Mechanical hemostasis for large pedunculated polyps.

Conclusions:

Recent developments support a standardized approach to polypectomy.
The recommended techniques aim to optimize efficacy and minimize adverse events.
Adoption of these techniques can improve the safety and effectiveness of endoscopic polyp removal.