ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-Session 4 Debate

Video Transcription

Video Summary

In this video, two experts discuss the use of cold snare polypectomy in the removal of polyps during colonoscopies. They highlight that cold snare polypectomy is the preferred technique for most polyps, as it is effective and safe, with low rates of complications such as bleeding. They mention that for larger polyps, especially those over a centimeter in size, there may be a higher risk of incomplete resection, but overall, cold snare polypectomy is a viable option. The experts also mention the use of additional techniques, such as virtual chromo or submucosal dye, to help delineate sessile serrated lesions and improve visibility during the procedure. They discuss some studies that compare cold snare polypectomy to hot snare polypectomy and find similar rates of success, with cold snare polypectomy having lower complication rates. They conclude that cold snare polypectomy is a safe and effective technique for most polyps, but there may still be debate around the specific approach for larger polyps. The video ends with the experts declaring a friendly winner of the debate but also noting their mutual respect and friendship. No credits were mentioned in the video.

Asset Subtitle

Audrey Calderwood, MD, FASGE and Evelien Dekker, MD

Keywords

cold snare polypectomy

polyp removal

colonoscopy

complications

sessile serrated lesions