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Review

Cold resection for colorectal polyps: where we are and where we are going?

, , &
Pages 719-730 | Received 03 Apr 2023, Accepted 07 Jun 2023, Published online: 15 Jun 2023

References

  • Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: gLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424. PMID: 30207593. doi:10.3322/caac.21492.
  • Arnold M, Sierra MS, Laversanne M, et al. Global patterns and trends in colorectal cancer incidence and mortality. Gut. 2017;66(4):683–691. PMID: 26818619. doi:10.1136/gutjnl-2015-310912.
  • Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin. 2018;68(1):7–30. PMID: 29313949. doi:10.3322/caac.21442.
  • Brenner H, Kloor M, Pox CP. Colorectal cancer. Lancet. 2014;383(9927):1490–1502. PMID: 24225001. doi:10.1016/S0140-6736(13)61649-9.
  • Brenner H, Bouvier AM, Foschi R, et al. Progress in colorectal cancer survival in Europe from the late 1980s to the early 21st century: the EUROCARE study. Int J Cancer. 2012;131(7):1649–1658. PMID: 21607946. doi:10.1002/ijc.26192.
  • Schoen RE, Pinsky PF, Weissfeld JL, et al. Colorectal-cancer incidence and mortality with screening flexible sigmoidoscopy. N Engl J Med. 2012;366(25):2345–2357. PMID: 22612596. doi:10.1056/NEJMoa1114635.
  • Nishihara R, Wu K, Lochhead P, et al. Long-term colorectal-cancer incidence and mortality after lower endoscopy. N Engl J Med. 2013;369:1095–1105. PMID: 24047059. doi:10.1056/NEJMoa1301969.
  • Russo P, Barbeiro S, Awadie H, et al. Management of colorectal laterally spreading tumors: a systematic review and meta-analysis. Endosc Int Open. 2019;7(2):E239–59. PMID: 30705959. doi:10.1055/a-0732-487.
  • Chandan S, Khan SR, Kumar A, et al. Efficacy and histologic accuracy of underwater versus conventional endoscopic mucosal resection for large (>20 mm) colorectal polyps: a comparative review and meta-analysis. Gastrointest Endosc. 2021;94:471–82.e9. PMID: 33385463. doi:10.1016/j.gie.2020.12.034.
  • Zhao H-J, Yin J, Ji C-Y, et al. Endoscopic mucosal resection versus endoscopic submucosal dissection for colorectal laterally spreading tumors: a meta-analysis. Rev Esp Enferm Dig. 2020;112:941–947. PMID: 33207885. doi:10.17235/reed.2020.6681/2019.
  • Belderbos TDG, Leenders M, Moons LMG, et al. Local recurrence after endoscopic mucosal resection of nonpedunculated colorectal lesions: systematic review and meta-analysis. Endoscopy. 2014;46(5):388–402. PMID: 24671869. doi:10.1055/s-0034-1364970.
  • Arezzo A, Passera R, Marchese N, et al. Systematic review and meta-analysis of endoscopic submucosal dissection vs endoscopic mucosal resection for colorectal lesions. United Eur Gastroenterol J. 2016;4(1):18–29. PMID: 26966519. doi:10.1177/2050640615585470.
  • Repici A, Hassan C, Vitetta E, et al. Safety of cold polypectomy for <10mm polyps at colonoscopy: a prospective multicenter study. Endoscopy. 2012;44:27–31. PMID: 22125197. doi: 10.1055/s-0031-1291387.
  • Huh CW, Kim JS, Choi HH, et al. Jumbo biopsy forceps versus cold snares for removing diminutive colorectal polyps: a prospective randomized controlled trial. Gastrointest Endosc. 2019;90(1):105–111. PMID: 30684600. doi:10.1016/j.gie.2019.01.016.
  • Park S, Ko BM, JP H, et al. A prospective randomized comparative study of cold forceps polypectomy by using narrow-band imaging endoscopy versus cold snare polypectomy in patients with diminutive colorectal polyps. Gastrointest Endosc. 2016;83:527–32.e1. PMID: 26358331. doi:10.1016/j.gie.2015.08.053.
  • Schett B, Wallner J, Weingart V, et al. Efficacy and safety of cold snare resection in preventive screening colonoscopy. Endosc Int Open. 2017;5(7):E580–6. PMID: 28670614. doi:10.1055/s-0043-105491.
  • Ferlitsch M, Moss A, Hassan C, et al. Colorectal polypectomy and endoscopic mucosal resection (EMR): European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2017;49(3):270–297. PMID: 28212588. doi:10.1055/s-0043-102569.
  • Kaltenbach T, Anderson JC, Burke CA, et al. Endoscopic removal of colorectal lesions: recommendations by the US multi-society task force on colorectal cancer. Am J Gastroenterol. 2020;115(3):435–464. PMID: 32058340. doi:10.14309/ajg.0000000000000555.
  • Uraoka T, Takizawa K, Tanaka S, et al. Guidelines for colorectal cold polypectomy (supplement to “Guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection”). Dig Endosc. 2022;34:668–675. PMID: 35113465. doi:10.1111/den.14250
  • Thoguluva Chandrasekar V, Spadaccini M, Aziz M, et al. Cold snare endoscopic resection of nonpedunculated colorectal polyps larger than 10 mm: a systematic review and pooled-analysis. Gastrointest Endosc. 2019;89:929–36.e3. PMID: 30639542. doi: 10.1016/j.gie.2018.12.022.
  • Suresh S, Zhang J, Ahmed A, et al. Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review. Endosc Int Open. 2021;9:E867–73. PMID: 34079869. doi: 10.1055/a-1399-8398].
  • Mangira D, Cameron K, Simons K, et al. Cold snare piecemeal EMR of large sessile colonic polyps ≥20 mm (with video). Gastrointest Endosc. 2020;91(6):1343–1352. PMID: 31954132. doi:10.1016/j.gie.2019.12.051.
  • Piraka C, Saeed A, Waljee AK, et al. Cold snare polypectomy for non-pedunculated colon polyps greater than 1 cm. Endosc Int Open. 2017;5(3):E184–9. PMID: 28331902. doi:10.1055/s-0043-101696.
  • Tutticci NJ, Hewett DG. Cold EMR of large sessile serrated polyps at colonoscopy (with video). Gastrointest Endosc. 2018;87(3):837–842. PMID: 29133196. doi:10.1016/j.gie.2017.11.002.
  • Tate DJ, Awadie H, Bahin FF, et al. Wide-field piecemeal cold snare polypectomy of large sessile serrated polyps without a submucosal injection is safe. Endoscopy. 2018;50(3):248–252. PMID: 29169195. doi:10.1055/s-0043-121219.
  • Kimoto Y, Sakai E, Inamoto R, et al. Safety and efficacy of cold snare polypectomy without submucosal injection for large sessile serrated lesions: a prospective study. Clin Gastroenterol Hepatol. 2022;20:e132–8. PMID: 33152541. doi: 10.1016/j.cgh.2020.10.053.
  • Thoguluva Chandrasekar V, Aziz M, Patel HK, et al. Efficacy and safety of endoscopic resection of sessile serrated polyps 10 mm or larger: a systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2020;18:2448–55.e3. PMID: 31786330. doi: 10.1016/j.cgh.2019.11.041.
  • van Hattem WA, Shahidi N, Vosko S, et al. Piecemeal cold snare polypectomy versus conventional endoscopic mucosal resection for large sessile serrated lesions: a retrospective comparison across two successive periods. Gut. 2021;70:1691–1697. PMID: 33172927. doi:10.1136/gutjnl-2020-321753.
  • McWhinney CD, Vemulapalli KC, El Rahyel A, et al. Adverse events and residual lesion rate after cold endoscopic mucosal resection of serrated lesions ≥10 mm. Gastrointest Endosc. 2021;93(3):654–659. PMID: 32891621. doi:10.1016/j.gie.2020.08.032.
  • Barros RA, Monteverde MJ, Dumonceau J-M, et al. Cold snare polypectomy without submucosal injection: safety and efficacy in 615 large serrated lesions. Endosc Int Open. 2021;9(9):E1421–6. PMID: 34466368. doi:10.1055/a-1517-4054.
  • Li D, Wang W. Xie J et al Efficacy and safety of three different endoscopic methods in treatment of 6-20 mm colorectal polyps. Scand J Gastroenterol. 2020;55:362–370. PMID: 32150478. doi:10.1080/00365521.2020.1732456.
  • Li D-F, Van Overbeke L, Ohata K, et al. Efficacy and safety of cold snare polypectomy for sessile serrated polyps ≥ 10 mm: a systematic review and meta-analysis. Dig Liver Dis. 2022;54(11):1486–1493. PMID: 35168877. doi:10.1016/j.dld.2022.01.132.
  • Rex DK, Anderson JC, Pohl H, et al. Cold versus hot snare resection with or without submucosal injection of 6- to 15-mm colorectal polyps: a randomized controlled trial. Gastrointest Endosc 2022;96:330–338. PMID: 35288147. doi: 10.1016/j.gie.2022.03.006.
  • Horiuchi A, Hosoi K, Kajiyama M, et al. Prospective, randomized comparison of 2 methods of cold snare polypectomy for small colorectal polyps. Gastrointest Endosc. 2015;82(4):686–692. PMID: 25922251. doi:10.1016/j.gie.2015.02.012.
  • Shimodate Y, Itakura J, Takayama H, et al. Impact of submucosal saline solution injection for cold snare polypectomy of small colorectal polyps: a randomized controlled study. Gastrointest Endosc. 2020;92(3):715–22.e1. PMID: 32492377. doi:10.1016/j.gie.2020.05.039.
  • Tappero G, Gaia E, De Giuli P, et al. Cold snare excision of small colorectal polyps. Gastrointest Endosc. 1992;38(3):310–313. DOI:10.1016/S0016-5107(92)70422-2
  • Tips and tricks Tips and tricks: cold snare polypectomy for removal of colonic lesions. Available from: https://www.worldendo.org/2021/12/15/tips-and-tricks-cold-snare-polypectomy-for-removal-of-colonic-lesions/
  • Tutticci N, Burgess NG, Pellise M, et al. Characterization and significance of protrusions in the mucosal defect after cold snare polypectomy. Gastrointest Endosc. 2015;82(3):523–528. PMID: 25910666. doi:10.1016/j.gie.2015.01.051.
  • Rex DK, Dekker E. How we resect colorectal polyps <20 mm in size. Gastrointest Endosc. 2019;89:449–452. PMID: 29909094. doi:10.1016/j.gie.2018.06.010.
  • Shichijo S, Takeuchi Y, Kitamura M, et al. Does cold snare polypectomy completely resect the mucosal layer? A prospective single-center observational trial. J Gastroenterol Hepatol. 2020;35(2):241–248. PMID: 31389623. doi:10.1111/jgh.14824.
  • O’Morain NR, Syafiq MI, Shahin A, et al. Dye-based chromoendoscopy following polypectomy reduces incomplete polyp resection. Endosc Int Open. 2020;8(1):E13–9. PMID: 31921979. doi:10.1055/a-1024-3759.
  • Kishida Y, Hotta K, Imai K, et al. Effectiveness of suction valve button removal in retrieving resected colon polyps for better histological assessment: propensity score matching analysis. Dig Endosc. 2021;33:433–440. PMID: 32573839. doi:10.1111/den.13779
  • Maruoka D, Arai M, Akizue N, et al. Residual adenoma after cold snare polypectomy for small colorectal adenomas: a prospective clinical study. Endoscopy. 2018;50(7):693–700. PMID: 29415287. doi:10.1055/s-0043-124869.
  • Matsuura N, Takeuchi Y, Yamashina T, et al. Incomplete resection rate of cold snare polypectomy: a prospective single-arm observational study. Endoscopy. 2017;49(3):251–257. PMID: 28192823. doi:10.1055/s-0043-100215.
  • Hirose R, Yoshida N, Murakami T, et al. Histopathological analysis of cold snare polypectomy and its indication for colorectal polyps 10-14 mm in diameter. Dig Endosc. 2017;29:594–601. PMID: 28160332. doi:10.1111/den.12825
  • Ito A, Suga T, Ota H, et al. Resection depth and layer of cold snare polypectomy versus endoscopic mucosal resection. J Gastroenterol. 2018;53(11):1171–1178. PMID: 29516270. doi:10.1007/s00535-018-1446-2.
  • Suzuki S, Gotoda T, Kusano C, et al. Width and depth of resection for small colorectal polyps: hot versus cold snare polypectomy. Gastrointest Endosc. 2018;87(4):1095–1103. PMID: 29122600. doi:10.1016/j.gie.2017.10.041.
  • Takayanagi D, Nemoto D, Isohata N, et al. Histological comparison of cold versus hot snare resections of the colorectal mucosa. Dis Colon Rectum. 2018;61(8):964–970. PMID: 29944582. doi:10.1097/DCR.0000000000001109.
  • Bogie RMM, Veldman MHJ, Snijders LARS, et al. Endoscopic subtypes of colorectal laterally spreading tumors (LSTs) and the risk of submucosal invasion: a meta-analysis. Endoscopy. 2018;50:263–282. PMID: 29179230. doi:10.1055/s-0043-121144.
  • Shaukat A, Kaltenbach T, Dominitz JA, et al. Endoscopic recognition and management strategies for malignant colorectal polyps: recommendations of the US multi-society task force on colorectal cancer. Gastroenterology. 2020;159(5):1916–34.e2. PMID: 33159840. doi:10.1053/j.gastro.2020.08.050.
  • Kamiński MF, Hassan C, Bisschops R, et al. Advanced imaging for detection and differentiation of colorectal neoplasia: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2014;46:435–449. PMID: 24639382. doi:10.1055/s-0034-1365348.
  • Lee CK, Shim J-J, Jang JY. Cold snare polypectomy vs. Cold forceps polypectomy using double-biopsy technique for removal of diminutive colorectal polyps: a prospective randomized study. Am J Gastroenterol. 2013;108(10):1593–1600. PMID: 24042189. doi:10.1038/ajg.2013.302.
  • Komeda Y, Kashida H, Sakurai T, et al. Removal of diminutive colorectal polyps: a prospective randomized clinical trial between cold snare polypectomy and hot forceps biopsy. World J Gastroenterol. 2017;23(2):328–335. PMID: 28127206. doi:10.3748/wjg.v23.i2.328.
  • Wei MT, Louie CY, Chen Y, et al. Randomized controlled trial investigating cold snare and forceps polypectomy among small POLYPs in rates of complete resection: the TINYPOLYP trial. Am J Gastroenterol. 2022;117:1305–1310. PMID: 35467557. doi: 10.14309/ajg.0000000000001799
  • Kawamura T, Takeuchi Y, Asai S, et al. A comparison of the resection rate for cold and hot snare polypectomy for 4-9 mm colorectal polyps: a multicentre randomised controlled trial (CRESCENT study). Gut. 2018;67:1950–1957. PMID: 28970290. doi: 10.1136/gutjnl-2017-314215.
  • Djinbachian R, Iratni R, Durand M, et al. Rates of incomplete resection of 1- to 20-mm colorectal polyps: a systematic review and meta-analysis. Gastroenterology. 2020;159(3):904–14.e12. PMID: 32437747. doi:10.1053/j.gastro.2020.05.018.
  • Chang L-C, Chang C-Y, Chen C-Y, et al. Cold versus hot snare polypectomy for small colorectal polyps: a pragmatic randomized controlled trial. Ann Intern Med. 2023;176:311–319. PMID: 36802753. doi: 10.7326/M22-2189.
  • Shinozaki S, Kobayashi Y, Hayashi Y, et al. Efficacy and safety of cold versus hot snare polypectomy for resecting small colorectal polyps: systematic review and meta-analysis. Dig Endosc. 2018;30:592–599. PMID: 29675857. doi:10.1111/den.13173
  • Horiuchi A, Nakayama Y, Kajiyama M, et al. Removal of small colorectal polyps in anticoagulated patients: a prospective randomized comparison of cold snare and conventional polypectomy. Gastrointest Endosc. 2014;79(3):417–423. PMID: 24125514. doi:10.1016/j.gie.2013.08.040.
  • Pedersen IB, Rawa-Golebiewska A, Calderwood AH, et al. Complete polyp resection with cold snare versus hot snare polypectomy for polyps of 4-9 mm: a randomized controlled trial. Endoscopy. 2022;54:961–969. PMID: 35008112. doi:10.1055/a-1734-7952
  • de Benito Sanz M, Hernández L, Garcia Martinez MI, et al. Efficacy and safety of cold versus hot snare polypectomy for small (5-9 mm) colorectal polyps: a multicenter randomized controlled trial. Endoscopy. 2022;54:35–44. PMID: 33264811. doi:10.1055/a-1327-8357.
  • Sidhu M, Forbes N, Tate DJ, et al. A randomized controlled trial of cold snare polypectomy technique: technique matters more than snare wire diameter. Am J Gastroenterol. 2022;117(1):100. PMID: 34817440. doi:10.14309/ajg.0000000000001554.
  • Arimoto J, Chiba H, Ashikari K, et al. Management of Less than 10-mm-sized pedunculated (Ip) polyps with thin stalk: hot snare polypectomy versus cold snare polypectomy. Dig Dis Sci. 2021;66(7):2353–2361. PMID: 32623550. doi:10.1007/s10620-020-06436-7.
  • Arimoto J, Chiba H, Tachikawa J, et al. Evaluation of cold snare polypectomy for small pedunculated (Ip) polyps with thin stalks: a prospective clinical feasibility study. Scand J Gastroenterol. 2022;57(2):253–259. PMID: 34727817. doi:10.1080/00365521.2021.1998603.
  • Ma X, Feng X, Li Y, et al. A comparison of incomplete resection rate of large and small colorectal polyps by cold snare polypectomy. Clin Gastroenterol Hepatol. 2022;20(5):1163–1170. PMID: 34798334. doi:10.1016/j.cgh.2021.11.010.
  • Buchner AM, Guarner-Argente C, Ginsberg GG. Outcomes of EMR of defiant colorectal lesions directed to an endoscopy referral center. Gastrointest Endosc. 2012;76(2):255–263. PMID: 22657404. doi:10.1016/j.gie.2012.02.060.
  • Inoki K, Takamaru H, Furuhashi H, et al. Management of colorectal high-grade dysplasia or cancer resected by cold snare polypectomy: a multicenter exploratory study. J Gastroenterol. 20 Mar 2023;58(6):554–564. e-pub ahead of print. doi: 10.1007/s00535-023-01980-1).
  • Pellise M, Burgess NG, Tutticci N, et al. Endoscopic mucosal resection for large serrated lesions in comparison with adenomas: a prospective multicentre study of 2000 lesions. Gut. 2017;66(4):644–653. PMID: 26786685. doi:10.1136/gutjnl-2015-310249.
  • Mehta D, Loutfy AH, Kushnir VM, et al. Cold versus hot endoscopic mucosal resection for large sessile colon polyps: a cost-effectiveness analysis. Endoscopy. 2022;54:367–375. PMID: 33782926. doi: 10.1055/a-1469-2644.
  • Makino T, Horiuchi A, Kajiyama M, et al. Delayed bleeding following cold snare polypectomy for small colorectal polyps in patients taking antithrombotic agents. J Clin Gastroenterol. 2018;52(6):502–507. PMID: 28134634. doi:10.1097/MCG.0000000000000802.
  • Din S, Ball AJ, Riley SA, et al. Cold snare polypectomy: does snare type influence outcomes? Dig Endosc. 2015;27:603–608. PMID: 25639685. doi:10.1111/den.12431
  • Jung YS, Park CH, Nam E, et al. Comparative efficacy of cold polypectomy techniques for diminutive colorectal polyps: a systematic review and network meta-analysis. Surg Endosc. 2018;32(3):1149–1159. PMID: 28812188. doi:10.1007/s00464-017-5786-4.
  • Dwyer JP, Tan JYC, Urquhart P, et al. A prospective comparison of cold snare polypectomy using traditional or dedicated cold snares for the resection of small sessile colorectal polyps. Endosc Int Open. 2017;5(11):E1062–8. PMID: 29250580. doi:10.1055/s-0043-113564.
  • Jung Y, Chun A-R, Han SJ, et al. Su1679 comparison of the clinical efficacy of the cold snare polypectomy using a thin wire mini-snare and thick wire mini-snare for small sized colorectal polyps. Gastrointest Endosc. 2018;87(6):AB366. DOI:10.1016/j.gie.2018.04.1791
  • Giri S, Jearth V, Darak H. Comparison of the clinical efficacy of the cold snare polypectomy using a thin wire mini-snare and thick wire mini-snare for small sized colorectal polyps. Outcomes of thin versus thick-wire snares for cold snare polypectomy: a systematic review and meta-analysis. Clin Endosc. 2022;55(6):742–750. doi:10.5946/ce.2022.141.
  • Horii T, Suzuki S, Sugita A, et al. Comparison of complete resection rates in cold snare polypectomy using two different wire diameter snares: a randomized controlled study. J Gastroenterol Hepatol. 2023;38(5):752–760. PMID: 36565225. doi:10.1111/jgh.16092.
  • Hassan C, Repici A. Colonoscopy: cold snaring diminutive polyps–the thinner the better! Nat Rev Gastroenterol Hepatol. 2015;12:191–193. PMID: 25732746. doi:10.1038/nrgastro.2015.38.
  • Song JH, Friedland S. Is submucosal injection helpful in cold snare polypectomy for small colorectal polyps? Clin Endosc. 2021;54(3):397–403. PMID: 33557513. doi:10.5946/ce.2020.226.
  • Kim MJ, Na SY, Kim JS, et al. Cold snare polypectomy versus cold endoscopic mucosal resection for small colorectal polyps: a multicenter randomized controlled trial. Surg Endosc. 2023;37(5):3789–3795. PMID: 36690892. doi:10.1007/s00464-023-09875-1.
  • Yabuuchi Y, Imai K, Hotta K, et al. Efficacy and safety of cold-snare endoscopic mucosal resection for colorectal adenomas 10 to 14 mm in size: a prospective observational study. Gastrointest Endosc. 2020;92(6):1239–1246. PMID: 32464143. doi:10.1016/j.gie.2020.05.019.
  • Pohl H, Srivastava A, Bensen SP, et al. Incomplete polyp resection during colonoscopy-results of the complete adenoma resection (CARE) study. Gastroenterology. 2013;144:74–80.e1. PMID: 23022496. doi:10.1053/j.gastro.2012.09.043
  • Yamashina T, Uedo N, Akasaka T, et al. Comparison of underwater vs conventional endoscopic mucosal resection of intermediate-size colorectal polyps. Gastroenterology. 2019;157(2):451–61.e2. PMID: 30981791. doi:10.1053/j.gastro.2019.04.005.
  • Binmoeller KF, Weilert F, Shah J, et al. ‘Underwater’ EMR without submucosal injection for large sessile colorectal polyps (with video). Gastrointest Endosc. 2012;75:1086–1091. PMID: 22365184. doi:10.1016/j.gie.2011.12.022
  • Yen AW, Leung JW, Wilson MD, et al. Underwater versus conventional endoscopic resection of nondiminutive nonpedunculated colorectal lesions: a prospective randomized controlled trial (with video). Gastrointest Endosc. 2020;91(3):643–54.e2. PMID: 31628954. doi:10.1016/j.gie.2019.09.039.
  • Nagl S, Ebigbo A, Goelder SK, et al. Underwater vs conventional endoscopic mucosal resection of large sessile or flat colorectal polyps: a prospective randomized controlled trial. Gastroenterology. 2021;161(5):1460–74.e1. PMID: 34371000. doi:10.1053/j.gastro.2021.07.044.
  • Spadaccini M, Fuccio L, Lamonaca L, et al. Underwater EMR for colorectal lesions: a systematic review with meta-analysis (with video). Gastrointest Endosc. 2019;89(6):1109–16.e4. PMID: 30862352. doi:10.1016/j.gie.2018.10.023.
  • Choi AY, Moosvi Z, Shah S, et al. Underwater versus conventional EMR for colorectal polyps: systematic review and meta-analysis. Gastrointest Endosc. 2021;93(2):378–389. PMID: 33068608. doi:10.1016/j.gie.2020.10.009.
  • Maruoka D, Kishimoto T, Matsumura T, et al. Underwater cold snare polypectomy for colorectal adenomas. Dig Endosc. 2019;31:662–671. PMID: 31038769. doi:10.1111/den.13427
  • Horiuchi A, Ikuse T, Tanaka N. Cold snare polypectomy: indications, devices, techniques, outcomes and future. Dig Endosc. 2019;31:372–377. PMID: 30549318. doi:10.1111/den.13314.
  • Zachou M, Varytimiadis K, Androutsakos T, et al. Protocol design for randomized clinical trial to compare underwater cold snare polypectomy to conventional cold snare polypectomy for non-pedunculated colon polyps of size 5-10 mm (COLDWATER study). Tech Coloproctol. 2023;27:325–333. PMID: 36399201. doi:10.1007/s10151-022-02731-9
  • Inagaki Y, Yoshida N, Fukumoto K, et al. Risk factors of delayed bleeding after cold snare polypectomy for colorectal polyps: a multicenter study. Dig Dis Sci. 2022;67(7):3177–3184. PMID: 34184204. doi:10.1007/s10620-021-07119-7.
  • Morita A, Horiuchi I, Tanaka N, et al. Managing bleeding risk after cold snare polypectomy in patients receiving direct-acting oral anticoagulants. Gastrointest Endosc. 2022;95(5):969–974. PMID: 35065046. doi:10.1016/j.gie.2022.01.005.
  • Takeuchi Y, Mabe K, Shimodate Y, et al. Continuous anticoagulation and cold snare polypectomy versus heparin bridging and hot snare polypectomy in patients on anticoagulants with subcentimeter polyps: a randomized controlled trial. Ann Intern Med. 2019;171(4):229–237. PMID: 31307055. doi:10.7326/M19-0026.
  • Yeh J-H, Wang W-L, Lin C-W, et al. Safety of cold snare polypectomy with periprocedural antithrombotic agents for colorectal polyps: a systematic review and meta-analysis. Therap Adv Gastroenterol. 2022;15:17562848211070716. PMID: 35173801. doi:10.1177/17562848211070717.
  • Repici A, Capogreco A, Spadaccini M, et al. Cold versus hot EMR for large duodenal adenomas. Gut. 2022;71:1763–1765. PMID: 35788060. doi:10.1136/gutjnl-2022-327171
  • Trivedi M, Klapheke R, Youssef F, et al. Comparison of cold snare and hot snare polypectomy for the resection of sporadic nonampullary duodenal adenomas. Gastrointest Endosc. 2022;96:657–64.e2. PMID: 35618029. doi:10.1016/j.gie.2022.05.007

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