•  
  •  
 

Document Type

Original Article

Abstract

Background: In most cases, hot polypectomy is used to treat colon polyps that are more than 1 centimeter in diameter. Electrocautery-induced damage accounts for the majority of adverse outcomes, including prolonged bleeding, post-polypectomy syndrome, and perforation. We postulated that cold resection of big polyps would be as effective as hot polypectomy while being significantly safer for the patient. Aim and objectives: for the purpose of comparing the rates of intraoperative bleeding, clinically significant postoperative bleeding, and perforation between Cold Snaring Polypectomy and Hot Snaring Polypectomy in patients with non-pedunculated colorectal polyps of 10 mm or larger. Subjects and methods: Prospective research including sixty (60) adult patients was conducted at the Gastroenterology unit of the Department of Internal Medicine at Al-Azhar University in Cairo, Egypt. Each participant had at least one nonpedunculated colorectal polyp having a diameter of at least 10 mm, and they were randomly assigned to one of two groups, one receiving a subtotal colectomy and the other receiving a subtotal resection. We performed 30 cold snare polypectomy (CSP) and 30 hot snare polypectomy (HSP) procedures. Result: None of the groups differed significantly from one another in terms of demographics, complete blood count, reason for colonoscopy, treatment, various metrics, or histology outcome (Hyperplastic polyp, Tubulovillous adenoma, or Sessile). Conclusion: Removal of polyps less than 10 mm in the colon through cold snare resection points to be a safe and effective method. However, larger research, such as for polyps measuring 10 millimeters in diameter, There has to be randomized controlled trials to see if cold snare or hot snare resections are more effective.

Keywords

Hot snare polypectomy; Cold snare polypectomy; Colorectal cancer.

Subject Area

Internal Medicine

Download

Share

COinS