Efficacy and safety of cold snare polypectomy for sessile serrated polyps ≥ 10 mm: A systematic review and meta-analysis

Li，De feng1; Van Overbeke，Lode2; Ohata，Ken3; Wang，Li sheng1; Yao，Jun1

2022

10.1016/j.dld.2022.01.132

DIGESTIVE AND LIVER DISEASE   影响因子和分区

1590-8658

1878-3562

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.

Cold snare polypectomy Meta-analysis Sessile serrated adenomas/polyps

SCI

英语

第一

Natural Science Foundation of Guangdong Province[2018A0303100024];National Natural Science Foundation of China[81502040];

Gastroenterology & Hepatology

Gastroenterology & Hepatology

WOS:000889101000004

ELSEVIER SCIENCE INC

CLINICAL MEDICINE

2-s2.0-85124483232

Scopus

1.Department of Gastroenterology,Shenzhen People's Hospital (The Second Clinical Medical College,Jinan University,The First Affiliated Hospital,Southern University of Science and Technology),Shenzhen,No.1017, Dongmen North Road, Luohu District,518020,China
2.AZ St-Maarten,Gastroenterology,Mechelen,2800,Belgium
3.Department of Gastrointestinal Endoscopy,NTT Medical Center Tokyo,Tokyo,Shinagawa-ku,141-8625,Japan

Li，De feng,Van Overbeke，Lode,Ohata，Ken,et al. Efficacy and safety of cold snare polypectomy for sessile serrated polyps ≥ 10 mm: A systematic review and meta-analysis[J]. DIGESTIVE AND LIVER DISEASE,2022,54(11).

Li，De feng,Van Overbeke，Lode,Ohata，Ken,Wang，Li sheng,&Yao，Jun.(2022).Efficacy and safety of cold snare polypectomy for sessile serrated polyps ≥ 10 mm: A systematic review and meta-analysis.DIGESTIVE AND LIVER DISEASE,54(11).

Li，De feng,et al."Efficacy and safety of cold snare polypectomy for sessile serrated polyps ≥ 10 mm: A systematic review and meta-analysis".DIGESTIVE AND LIVER DISEASE 54.11(2022).