title: Cold snare polypectomy for large sessile colonic polyps: a single-center experience.
abstract: Colonoscopic polypectomy has been shown to reduce the risk of colorectal cancer and the mortality. Postpolypectomy bleeding was reported to be lower with cold snare polypectomy (CSP) when compared with conventional polypectomy. CSP has traditionally been utilized only in smaller polyps below 1 cm. We retrospectively analyzed the CSP outcomes in patients with sessile polyps ≥10 mm in size and observed that CSP was feasible in large sessile polyps with no adverse events and with an acceptable rate of residual polyp on follow-up colonoscopy. Further prospective study in larger patient groups is warranted to determine optimal CSP techniques and whether CSP for large polyps has favorable efficacy in regard to complete polypectomy, procedure time, and complication rates relative to polypectomy with cautery.
authors: Section of Digestive Disease, Yale School of Medicine, New Haven, CT 06520, USA.
authors: Thiruvengadam
authors: T
authors: Muniraj
authors: University of Southern California, Los Angeles, CA 90089, USA.
authors: Ara
authors: A
authors: Sahakian
authors: Department of Biostatistics, Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT 06520, USA.
authors: Maria M
authors: MM
authors: Ciarleglio
authors: Department of Biostatistics, Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT 06520, USA.
authors: Yanhong
authors: Y
authors: Deng
authors: Section of Digestive Disease, Yale School of Medicine, New Haven, CT 06520, USA.
authors: Harry R
authors: HR
authors: Aslanian