WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Alaa Marshan*, Hassan Zaizafoun and Rana Issa

ABSTRACT

Background and Aim: Adenomatous colorectal polyps are precancerous lesions, although most have benign course, some of them might develop into colorectal cancer which is the third common diagnosed cancer in USA. Thus, detection and resection of such lesions is very important. Recently, cold snare polypectomy (CSP) has increasingly been used over hot snare polypectomy (HSP) for the removal of colorectal polyps (3 – 10mm in size). However, the optimal technique (CSP vs. HSP), in terms of the complete resection and complications, is uncertain. The aim of our study was to compare cold with hot snare polypectomy in the complete resection and in the occurrence of post polypectomy complications in small colorectal polyps which range (3–10) mm in size. Materials and Methods: The study began from May 2019 to April 2020, in GI Endoscopy Unit in Tishreen University Hospital. 80 polyps from 54 patients were randomly assigned to either CSP or HSP (40 polyps in each group). Total resection was studied and post Polypectomy adverse events (AEs) were monitored. Results: Complete resection was achieved in 92.5% of polyps in (CSP) group (37/40) compared with 95% of polyps in (HSP) group (38/40) (p value = 0.646). Three patients developed delayed bleeding in (HSP) group while no AEs were seen in (CSP) group (p value = 0.048). Conclusion: CSP is effective and safe in removing colorectal polyps range in size 3-10 mm.

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