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03:01
Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
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Risk factors for incomplete polyp resection after cold snare polypectomy.
Jun Arimoto1, Hideyuki Chiba1, Takuma Higurashi2
1Department of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan.
International Journal of Colorectal Disease
|July 18, 2019
Summary
Incomplete polyp resection (IPR) after cold snare polypectomy (CSP) is a concern. Trainee performance during polypectomy was identified as a significant risk factor for IPR, highlighting the need for further research into prevention strategies.
Area of Science:
- Gastroenterology
- Endoscopic procedures
- Colorectal cancer prevention
Background:
- Incomplete polyp resection (IPR) is a risk factor for interval colorectal cancer (ICC).
- Cold snare polypectomy (CSP) lacks electrocautery, potentially increasing IPR risk compared to hot methods.
- Risk factors for IPR specifically after CSP are not well-established.
Purpose of the Study:
- To precisely identify risk factors for IPR following CSP.
- To inform strategies for preventing IPR after CSP procedures.
Main Methods:
- Retrospective review of 1177 colorectal polyp resections from 501 patients.
- Evaluation of lateral and deep margins for resection completeness.
- Analysis of data from Omori Red Cross Hospital (October 2017 - March 2018).
Main Results:
- 1163 polyp resections were analyzed, with 206 (17.7%) showing IPR.
- Resection performed by a trainee was a significant independent risk factor for IPR (OR 1.87).
Conclusions:
- Trainee performance is a key risk factor for IPR during CSP.
- Further prospective, randomized studies are needed to develop IPR prevention methods for CSP.
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