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Cold Snare Polypectomy in Pediatric Polyposis: A Multicenter Experience.

Hunter J Friesen1,2, Thomas M Attard1,2, Andrew Y J Liman3

  • 1Division of Gastroenterology, Hepatology and Nutrition, Children's Mercy Hospital Kansas City, Kansas City, MO 64108, USA.

Children (Basel, Switzerland)
|March 28, 2025
PubMed
Summary
This summary is machine-generated.

Cold snare polypectomy (CSP) is safe and effective for removing pediatric polyps. This study shows mild bleeding is manageable, supporting CSP as a preferred pediatric polyp removal method.

Keywords:
cold snare polypectomyendoscopic resectionmulticenter studypediatric polyposis

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Area of Science:

  • Gastroenterology
  • Pediatric Endoscopy
  • Surgical Techniques

Background:

  • Cold snare polypectomy (CSP) is standard for adult polyp removal.
  • Its use in pediatric patients with polyposis is not well-studied.

Purpose of the Study:

  • To evaluate the safety and efficacy of CSP in pediatric polyposis patients.
  • To compare CSP outcomes with hot snare polypectomy (HSP).

Main Methods:

  • Retrospective analysis of pediatric patients (1-21 years) undergoing CSP and HSP.
  • Data collected on demographics, procedures, polyp characteristics, and outcomes.

Main Results:

  • 477 CSPs performed across 63 colonoscopies with high cecal intubation (98%).
  • Complete tissue retrieval in 94% of CSP cases; mild bleeding in 25% managed with clips.
  • CSP showed favorable bleeding rates compared to HSP, with no significant complications.

Conclusions:

  • CSP is a safe and effective technique for sessile polyp removal in pediatric polyposis.
  • Mild bleeding during CSP is manageable, supporting its use in children.
  • Further research is needed to establish CSP's role in broader pediatric populations.