Cold Snare Polypectomy When Should I Use Cold Snare Polypectomy? - Cold snare polypectomy should be used for polyps up to 10mm - For polyps ≤ 3mm cold forceps removal may be used - Cold forceps polypectomy is not suitable for polyps ≥ 4mrn due to increased risk of incomplete resection Piecemeal Cold Snare Polypectomy vs. EMR - In comparison to EMR, pCSP is extremely safe (from post-polypectomy bleeding, deep mural injury) - Piecemeal approach does not compromise effectiveness of CSP for non-dysplastic SSLs - SM injection not essential however, but dye aids in lesion demarcation - More data required to address the role of pCSP in the treatment of SSL with dysplasia and adenomas Dr. Enrik Aguila @enrrikke #Cold #Snare #Polypectomy #gastroenterology #management #indications
