PMID- 35168877
OWN - NLM
STAT- MEDLINE
DCOM- 20221101
LR  - 20221228
IS  - 1878-3562 (Electronic)
IS  - 1590-8658 (Linking)
VI  - 54
IP  - 11
DP  - 2022 Nov
TI  - Efficacy and safety of cold snare polypectomy for sessile serrated polyps >/= 
      10 mm: A systematic review and meta-analysis.
PG  - 1486-1493
LID - S1590-8658(22)00143-8 [pii]
LID - 10.1016/j.dld.2022.01.132 [doi]
AB  - BACKGROUND: Cold snare polypectomy (CSP) is a promising technique for the removal 
      of sessile serrated polyps (SSPs) >/= 10 mm. However, the efficacy and safety of 
      this technique remain undetermined. AIMS: We aimed to comprehensively evaluate 
      the efficacy and safety of CSP for SSPs >/= 10 mm. METHODS: PubMed, EMBASE, Web of 
      Science and Cochrane Library were searched up to January 2021. RESULTS: A total 
      of 10 studies consisting of 1727 SSPs (range, 10-40 mm) from 1021 patients were 
      included. The overall rates of technical success, adverse events (AEs) and 
      residual SSPs were 100%, 0.7% and 2.9%, respectively. Subgroup analysis showed 
      that the rates of technical success and AEs were comparable between CSP and cold 
      endoscopic mucosal resection (EMR) (99.9% vs. 100% and 1.3% vs. 0.5%, 
      respectively), between the proximal and distal colon (100% vs. 99.9% and 0.3% vs. 
      0, respectively), and between polyps of 10-19 mm and >/=20 mm (99.8% vs. 100% and 
      0.9% vs. 0, respectively). However, subgroup analysis showed that the rate of 
      residual SSPs was slightly lower in CSP compared with cold EMR (1.3% vs. 3.9%), 
      as well as in polyps of 10-19 mm compared with those >/=20 mm (3.1% vs. 4.7%). 
      CONCLUSION: CSP was an effective and safe technique for removing SSPs >/= 10 mm.
CI  - Copyright (c) 2022. Published by Elsevier Ltd.
FAU - Li, De-Feng
AU  - Li DF
AD  - Department of Gastroenterology, Shenzhen People's Hospital (The Second Clinical 
      Medical College, Jinan University, The First Affiliated Hospital, Southern 
      University of Science and Technology), No.1017, Dongmen North Road, Luohu 
      District, Shenzhen, Guangdong 518020, China.
FAU - Van Overbeke, Lode
AU  - Van Overbeke L
AD  - AZ St-Maarten, Gastroenterology, Mechelen 2800, Belgium.
FAU - Ohata, Ken
AU  - Ohata K
AD  - Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Shinagawa-ku, 
      Tokyo 141-8625, Japan.
FAU - Wang, Li-Sheng
AU  - Wang LS
AD  - Department of Gastroenterology, Shenzhen People's Hospital (The Second Clinical 
      Medical College, Jinan University, The First Affiliated Hospital, Southern 
      University of Science and Technology), No.1017, Dongmen North Road, Luohu 
      District, Shenzhen, Guangdong 518020, China. Electronic address: 
      wanglsszrmyy@163.com.
FAU - Yao, Jun
AU  - Yao J
AD  - Department of Gastroenterology, Shenzhen People's Hospital (The Second Clinical 
      Medical College, Jinan University, The First Affiliated Hospital, Southern 
      University of Science and Technology), No.1017, Dongmen North Road, Luohu 
      District, Shenzhen, Guangdong 518020, China. Electronic address: jy_1108@126.com.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
DEP - 20220212
PL  - Netherlands
TA  - Dig Liver Dis
JT  - Digestive and liver disease : official journal of the Italian Society of 
      Gastroenterology and the Italian Association for the Study of the Liver
JID - 100958385
SB  - IM
MH  - Humans
MH  - *Colonic Polyps/surgery
MH  - Colonoscopy/methods
MH  - *Adenoma/surgery
MH  - *Endoscopic Mucosal Resection/adverse effects/methods
MH  - *Colorectal Neoplasms/surgery/etiology
MH  - *Gastrointestinal Neoplasms
OTO - NOTNLM
OT  - Cold snare polypectomy
OT  - Meta-analysis
OT  - Sessile serrated adenomas/polyps
COIS- Conflict of interest None declared.
EDAT- 2022/02/17 06:00
MHDA- 2022/11/02 06:00
CRDT- 2022/02/16 05:37
PHST- 2021/06/29 00:00 [received]
PHST- 2022/01/22 00:00 [revised]
PHST- 2022/01/25 00:00 [accepted]
PHST- 2022/02/17 06:00 [pubmed]
PHST- 2022/11/02 06:00 [medline]
PHST- 2022/02/16 05:37 [entrez]
AID - S1590-8658(22)00143-8 [pii]
AID - 10.1016/j.dld.2022.01.132 [doi]
PST - ppublish
SO  - Dig Liver Dis. 2022 Nov;54(11):1486-1493. doi: 10.1016/j.dld.2022.01.132. Epub 
      2022 Feb 12.