Cold snare polypectomy versus XXXX for diminutive and small @entity1127 : a randomized controlled trial.

@entity1 @entity36468 @entity6523 @entity1127
BACKGROUND: The optimal technique for removal of diminutive or small @entity1127 is debatable. OBJECTIVE: To compare the complete resection rates of cold snare polypectomy (CSP) and @entity36468 ( @entity36468 ) for the removal of @entity6523   <=7  mm. DESIGN: Prospective randomized controlled study. SETTING: A university hospital. @entity1 : A total of 139 @entity1 who were found to have  >= 1 @entity6523   <=7  mm. INTERVENTIONS: @entity1127 were randomized to be treated with either CSP or @entity36468 . After the initial polypectomy, additional EMR was performed at the polypectomy site to assess the presence of residual polyp tissue. MAIN OUTCOME MEASUREMENTS: Absence of residual polyp tissue in the EMR specimen of the polypectomy site was defined as complete resection. RESULTS: Among a total of 145 @entity1127 , 128 (88.3%) were @entity6523 . The overall complete resection rate  for @entity6523 was significantly higher in the CSP group compared with the @entity36468 group (57/59, 96.6% vs 57/69, 82.6%; P  = .011). Although the complete resection rates for @entity6523   <=4  mm were not different (27/27, 100% vs 31/32, 96.9%; P  = 1.000), the complete resection rates for @entity6523 sized 5 to 7  mm was significantly higher in the CSP group compared with the @entity36468 group (30/32, 93.8% vs 26/37, 70.3%; P  = .013). LIMITATIONS: Single-center study. CONCLUSION: CSP is recommended for the complete resection of @entity6523   <=7  mm. ( CLINICAL TRIAL REGISTRATION NUMBER: NCT01665898.).
