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- Title
Comparison of cold snare polypectomy and endoscopic mucosal resection for 3–10-mm colorectal polyps in end-stage renal disease patients.
- Authors
Oh, Chang; Choi, Ho; Cho, Young-Seok
- Abstract
Background: Patients with end-stage renal disease (ESRD) have a higher incidence of clinically relevant complications, such as bleeding and perforation after polyp resection, compared to patients without underlying diseases. Cold snare polypectomy (CSP) is increasingly used for the removal of small polyps and diminutive polyps due to its shorter procedure time and low risk of bleeding and perforation. However, there have been few studies on the effectiveness and safety of CSP in patients with ESRD. The aim of this study was to compare the efficacy and safety of CSP and endoscopic mucosal resection (EMR) in ESRD patients. Methods: This study was a retrospective study. We performed propensity score-matched analysis in patients with ESRD who underwent endoscopic resection for 3–10-mm-sized colorectal polyps at Seoul St. Mary's Hospital, from January 2014 to December 2019. Results: After 1:1 ratio matching, 406 polyps were included: 203 polyps were resected with CSP and 203 polyps with EMR. There was no difference between the CSP group and EMR group in incomplete resection rate (4.43% vs. 1.97%, P = 0.16). There were no differences between the CSP and EMR group for immediate bleeding (5.42% vs. 7.88%, P = 0.32) and delayed bleeding (0% vs. 0.49%, P = 1.00). No perforation occurred in either group. Conclusions: There were no differences between the CSP and EMR group in terms of efficacy and safety. CSP can be one of the standard methods for the removal of 3–10-mm-sized colorectal polyps in patients with ESRD.
- Subjects
CHRONIC kidney failure; COLON polyps; RETROSPECTIVE studies; MANN Whitney U Test; FISHER exact test; TREATMENT effectiveness; DIGESTIVE organ surgery; DESCRIPTIVE statistics; CHI-squared test; ENDOSCOPIC gastrointestinal surgery; INTESTINAL mucosa; DATA analysis software; PATIENT safety; EVALUATION
- Publication
Saudi Journal of Gastroenterology, 2022, Vol 28, Issue 1, p67
- ISSN
1319-3767
- Publication type
Article
- DOI
10.4103/sjg.sjg_371_21