ASGE Advanced Endoscopic Lesion Resection Course | November 2022-Is the Heat Wave Over? A Review of Cold vs Hot Snare EMR

Video Transcription

Video Summary

In this video, the speaker discusses the advantages of using cold snare polypectomy over hot snare polypectomy for the removal of polyps in the gastrointestinal tract. The speaker first explains their own personal enthusiasm for cold snare procedures and provides an overview of the objectives of the discussion, which include the movement towards cold snare, the pros and cons of hot versus cold snare polypectomy, the data supporting the techniques, and unanswered questions in cold polypectomy. The speaker emphasizes the goal of removing the entire lesion with the fewest adverse events and minimizing costs. They mention various devices and techniques that can be used in cold snare procedures, such as injecting contrast, using epinephrine, and careful examination of the base. The speaker presents data from studies comparing hot and cold snare polypectomy, highlighting the lower rates of bleeding and adverse events associated with cold snare procedures. They also discuss the challenges of performing cold snare polypectomy for duodenal polyps and pedunculated polyps, but still express confidence in the technique. The speaker concludes by summarizing the benefits of cold snare polypectomy and expresses anticipation for further advancements in the field.

Asset Subtitle

Ashley L. Faulx, MD, FASGE

Keywords

cold snare polypectomy

hot snare polypectomy

gastrointestinal tract

advantages

adverse events

techniques