Jumbo biopsy forceps versus cold snares for removing diminutive colorectal polyps: a prospective randomized controlled trial

Cold snare polypectomy (CSP) and jumbo forceps polypectomy (JFP) have been shown to be effective for removing diminutive colorectal polyps (DCPs) (≤5 mm). However, no study has compared complete resection rates between CSP and JFP for DCPs. The aim of this study was to compare the efficacy and safet...

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Bibliographic Details
Published in:Gastrointestinal endoscopy 2019-07, Vol.90 (1), p.105-111
Main Authors: Huh, Cheal Wung, Kim, Joon Sung, Choi, Hyun Ho, Maeng, I So, Jun, Sun-Young, Kim, Byung-Wook
Format: Article
Language:English
Subjects:
Adenomatous Polyps - pathology
Adenomatous Polyps - surgery
Aged
Colonic Polyps - pathology
Colonic Polyps - surgery
Colonoscopy - instrumentation
Colorectal Neoplasms - pathology
Colorectal Neoplasms - surgery
Female
Humans
Intestinal Polyps - pathology
Intestinal Polyps - surgery
Male
Middle Aged
Surgical Instruments
Treatment Outcome
Tumor Burden
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Summary:Cold snare polypectomy (CSP) and jumbo forceps polypectomy (JFP) have been shown to be effective for removing diminutive colorectal polyps (DCPs) (≤5 mm). However, no study has compared complete resection rates between CSP and JFP for DCPs. The aim of this study was to compare the efficacy and safety of JFP with CSP for the removal of DCPs. This was a prospective randomized controlled trial from 2 tertiary-care referral centers. A total of 1003 patients were screened, and 169 patients with 196 DCPs were enrolled. The main outcome was complete polyp resection rate. Of 196 diminutive polyps, 177 (90.3%) were adenomatous polyps. The overall complete resection rate was 92.1% (163/177). The complete resection rate was not significantly different between JFP and CSP groups (92.0% vs 92.2%; P = .947). JFP achieved complete resection rates comparable with CSP for polyps >3 mm (90.3% vs 89.8%; P = .928). Polypectomy procedure time, tissue retrieval rate, and rate of postpolypectomy adverse events were not significantly different between the 2 groups. Both JFP and CSP achieved complete resection rates of >90% for DCPs. Thus, JFP may be considered for polypectomy of DCPs. (International clinical trial registry number: KCT0002805.) [Display omitted]
ISSN:0016-5107
1097-6779
DOI:10.1016/j.gie.2019.01.016