ASGE Advanced Endoscopic Lesion Resection Course (On-Demand) | 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 for the removal of polyps in the colon and duodenum. They explain that cold snare polypectomy involves using a snare without thermal coagulation to remove polyps, resulting in fewer adverse events such as bleeding and perforation compared to hot snare polypectomy. The speaker highlights the benefits of cold snare polypectomy, such as shorter procedure times, lower costs, and high complete resection rates for small polyps. They also discuss studies that have shown the effectiveness of cold snare polypectomy for larger polyps, with minimal rates of bleeding and complete resection. The speaker mentions different types of cold snares available on the market and emphasizes the importance of technique, including careful examination of the margin and using submucosal injection to aid in snaring. They conclude by stating that cold snare polypectomy is a promising technique that can reduce adverse events and improve outcomes in polyp removal.

Asset Subtitle

Ashley L. Faulx, MD, FASGE

Keywords

cold snare polypectomy

advantages

bleeding

complete resection rates

procedure times

polyp removal