Guidelines for Colorectal Cold Polypectomy (supplement to "Guidelines for Colorectal Endoscopic Submucosal...

Area of Science:

• Gastroenterology
• Endoscopy
• Colorectal Surgery

Background:

• The Japan Gastroenterological Endoscopy Society's 2019 guidelines clarified indications for colorectal endoscopic mucosal resection (EMR) and endoscopic submucosal dissection.
• Electrocautery-assisted endoscopic resection (polypectomy, EMR) is standard for colorectal polyps.
• Cold polypectomy, without electrocautery, is increasingly adopted in clinical practice.

Purpose of the Study:

• To establish supplementary guidelines for performing cold polypectomy in colorectal settings.
• To provide practical recommendations for the increasing use of cold polypectomy.
• To complement existing guidelines on colorectal endoscopic resection techniques.

Main Methods:

• Development of supplementary guidelines for cold polypectomy.
• Review and synthesis of current practices and emerging evidence for cold polypectomy.
• Consideration of the limited evidence base for cold polypectomy statements.

Main Results:

• Establishment of supplementary guidelines for cold polypectomy procedures.
• Identification of the need for clinical verification of these guidelines.
• Acknowledgement of the limited evidence supporting current recommendations.

Conclusions:

• Supplementary guidelines for cold polypectomy have been established.
• These guidelines require validation through clinical practice.
• Further research and evidence are needed to solidify recommendations for cold polypectomy.