Cold snare piecemeal resection of XXXX >= 1cm.

@entity1 @entity1127 @entity548 @entity190 @entity420 @entity490 @entity2513 @entity6413 @entity1586
BACKGROUND: Endoscopic removal of duodenal and @entity2513 is currently considered to be the standard of care for prevention of @entity420 . The use of cautery carries a risk of delayed @entity548 , @entity6413 , and perforation. We examined the safety and feasibility of removing @entity1586 >= 1cm using a piecemeal cold snare polypectomy technique. @entity1 : The study included 15 @entity1 with @entity1127 >= 1cm and 15 @entity1 with @entity1586 >= 1cm. MAIN OUTCOME MEASUREMENTS: Bleeding, perforation, @entity490 , or hospitalization occurring within 2 weeks of polypectomy. RESULTS: Between 24 August 2011 and 29 April 2013, 15 @entity1 had @entity1127 >= 1cm. Mean @entity1 age was 64 years and 9/15 @entity1 were male. The mean polyp size was 24mm (10-60mm). All @entity1127 were removed with a cold snare and some required cold biopsy forceps. One @entity1 required hospitalization for gastrointestinal @entity190 7 days post-polypectomy; this @entity1 was using Coumadin. Between 27 February 2012 and 30 May 2013, 15 @entity1 underwent resection of a >= 1cm @entity1586 .Mean @entity1 age was 68 years and 9/15 were male. The mean polyp size was 20mm (10-45mm). All @entity1127 were primarily removed with a cold snare. None of the @entity1 required hemostatic clips for control of immediate @entity548 . One @entity1 presented to the emergency department with @entity490 1 day after initial endoscopy. CT scan showed no abnormalities and the @entity1 was discharged. CONCLUSIONS: Cold snare polypectomy for large duodenal and @entity1586 is technically feasible and may have a favorable safety profile compared to standard electrocautery-based endoscopic resection. Comparative trials are required to determine the relative safety and efficacy of cold snare techniques for complete and durable resection of large @entity1127 compared to standard hot snare methods.
