ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand) | October 2022-Point Counterpoint: Cold Snare Polypectomy for Polyps Large and Small

Point Counterpoint: Cold Snare Polypectomy for Polyps Large and Small

Video Transcription

Video Summary

In this video, Charles Kahi, a professor of medicine from Indiana University, presents a defense of cold-snare polypectomy for polyps of various sizes. He explains that cold-snare polypectomy is the most important and commonly used technique for removing small polyps (less than 10 millimeters) because there is a low risk of advanced histology and it has low incomplete resection rates and is safe. Cold-snare polypectomy also outperforms cold forceps polypectomy for small polyps, with higher complete resection rates and lower incomplete resection rates. When comparing hot resection techniques to cold-snare polypectomy, cold-snare polypectomy is again shown to be superior in terms of complete resection rates and safety. The video also discusses the role of cold-snare polypectomy for polyps of larger sizes (10-19 millimeters) and for serrated polyps, highlighting its effectiveness and safety. Lastly, it mentions the limitations of cold-snare polypectomy, including difficulties in transecting larger polyps and the need for caution in cases of submucosal invasion. <br /><br />Credits: <br />Speaker: Charles Kahi<br />Video: Unknown

Asset Subtitle

Charles J. Kahi, MD, MSc, FASGE, FACG

Keywords

cold-snare polypectomy

small polyps

advanced histology

complete resection rates

safety