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Related Concept Videos

Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

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This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Related Experiment Video

Updated: May 7, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Colonic polypectomy in 2024: hot or cold?

K Ferdinande1, L Desomer2, D De Looze1

  • 1Department of Gastroenterology and Hepatology, Ghent University Hospital, Ghent, Belgium.

Acta Gastro-Enterologica Belgica
|January 2, 2025
PubMed
Summary
This summary is machine-generated.

Cold snare polypectomy (CSP) is safer and equally effective for small colorectal polyps compared to hot snare polypectomy (HSP). Widespread adoption of CSP can reduce adverse events during colonoscopy screening for colorectal cancer (CRC).

Keywords:
cold snare polypectomycolonic polypectomycolorectal cancereveryday endoscopyquality of endoscopysafety in endoscopy

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Area of Science:

  • Gastroenterology
  • Endoscopic Surgery
  • Oncology

Background:

  • Colorectal cancer (CRC) is a leading cause of cancer death globally.
  • Colonoscopy with endoscopic polypectomy is crucial for preventing CRC progression.
  • Incomplete polyp resection can lead to post-colonoscopy colorectal cancer (PCCRC).

Purpose of the Study:

  • To review the safety of hot snare polypectomy (HSP) versus cold snare polypectomy (CSP) for diminutive and small colorectal polyps.
  • To highlight CSP as a potentially safer alternative to HSP for routine polypectomy.

Main Methods:

  • Review of recent high-quality studies comparing HSP and CSP efficacy and safety.
  • Analysis of adverse event profiles, including bleeding and perforation risks.
  • Consideration of clinical practice trends and patient-specific factors.

Main Results:

  • CSP demonstrates similar efficacy and a superior safety profile to HSP for polyps <10 mm.
  • CSP is suitable for the majority of polyps encountered in daily practice.
  • CSP offers a favorable risk-benefit ratio, especially for patients on anticoagulants.

Conclusions:

  • CSP is the preferred technique for resecting diminutive and small colorectal polyps due to its safety advantages.
  • Increased use of CSP can significantly decrease adverse events associated with endoscopic polypectomy.
  • The application of CSP may be expanded to larger lesions and specific patient populations.