Cold snare polypectomy of large lesions: One swallow does not a summer make

In this issue of Endoscopy, Tate et al. [1] report on the safety of piecemeal cold snare polypectomy (pCSP) of 41 sessile serrated polyps (SSPs) ≥ 10 mm in the colon. CSP is nowadays the preferred technique for removal of diminutive polyps as it safe, very effective, fast, and allows proper histological assessment. Although at first it was reserved for polyps of < 5 mm, recent papers support the use of CSP for small polyps up to 10 mm. The idea of expanding the limits of CSP to polyps ≥ 10 mm, as examined by Tate et al., is attractive because post-polypectomy complications, including delayed bleeding, post-polypectomy syndrome, and perforation, are thought to be associated with thermal injury to either submucosal vessels or the muscle layer.

• References

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