Women Teaching Women: Retooling Your Clinical Toolbox

02 - Faulx

Pdf Summary

In this presentation, Dr. Ashley L. Faulx discusses the use of cold snare polypectomy (CSP) as an alternative to hot snare polypectomy (HSP) for the removal of polyps in the colon. She highlights the recent movement away from HSP due to complications such as bleeding and perforation. <br /><br />Dr. Faulx explains that the choice between CSP and HSP depends on various factors including polyp characteristics (size, morphology) and patient characteristics (use of anticoagulants, comorbidities). She reviews the data supporting each technique and notes that CSP has been shown to have a high rate of complete resection for polyps 10mm or smaller.<br /><br />For larger polyps, Dr. Faulx discusses a recent meta-analysis and a randomized controlled trial that showed excellent results with CSP in terms of postpolypectomy bleeding, completeness of resection, and residual polyp rates. She also mentions the use of CSP for large serrated lesions, stating that it is safe and effective.<br /><br />Dr. Faulx notes that HSP is associated with complications such as post-polypectomy bleeding and perforation. She discusses the use of endoscopic clip closure to prevent post-EMR bleeding after HSP but highlights that it is time-consuming and expensive. She also mentions ongoing research on the use of CSP in preventing post-polypectomy bleeding.<br /><br />In summary, Dr. Faulx emphasizes the growing use of CSP as the standard for small colon polyps and highlights the need for further research on the outcomes of CSP for larger polyps. She concludes by expressing gratitude and thanks.

Keywords

cold snare polypectomy

CSP

hot snare polypectomy

HSP

polyp removal

complications

complete resection

postpolypectomy bleeding

residual polyp rates

large serrated lesions