ASGE Endoscopy Live: Colonoscopy Symposium | September 2022-Endoscopy Live Presentation 2

Endoscopy Live Presentation 2 - Cold Snare Revolution in Polypectomy

Video Transcription

Video Summary

The video discusses the use of cold snare resection in polypectomy procedures. The speaker explains that in the past, electrocautery was the standard method for removing polyps, but research has shown that it may not always result in complete resection and can increase the risk of bleeding. Cold snare resection, on the other hand, has been found to be safe and effective for small polyps. Studies have shown that it has a lower risk of delayed bleeding compared to hot snare resection. The speaker also discusses questions regarding the size cutoff for polyps, morphology, histology, and the use of dedicated cold snares and submucosal injection. Overall, cold snare resection is recommended for polyps up to 10mm in size and may be a suitable option for larger polyps as well, particularly sessile serrated polyps. However, more research is needed to determine the best approach for different types of polyps. The video concludes by suggesting that cold snare resection can be considered a low-risk procedure.

Keywords

cold snare resection

polypectomy procedures

complete resection

risk of bleeding

safe and effective