ArticleSurgical endoscopy2020
Local recurrence and its risk factors after cold snare polypectomy of colorectal polyps.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Cold versus hot polypectomy/endoscopic mucosal resection-A review of current evidence.United European gastroenterology journal · 2021Pooled it
- Effectiveness and safety of the different endoscopic resection methods for 10- to 20-mm nonpedunculated colorectal polyps: A systematic review and pooled analysis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationPooled it
- A Comparative Study of Early Mucosal Healing Following Hot Polypectomy and Cold Polypectomy.Medical science monitor : international medical journal of experimental and clinical research · 2021Trial
- Trial
- Successful Salvage Underwater Endoscopic Mucosal Resection for Early Colorectal Cancer with Unclear Horizontal and Vertical Margin after Cold Snare Polypectomy: Two Case Reports.Journal of the anus, rectum and colon · 2026Article
- Development of an AI-Assisted System for Automatic Recognition and Localization Marking of Colonic Polyps (With Video).Journal of gastroenterology and hepatology · 2025Article
- Construction and validation of machine learning-based predictive model for colorectal polyp recurrence one year after endoscopic mucosal resection.World journal of gastroenterology · 2025Article
- Comparison of cold snare endoscopic mucosal resection and hot snare endoscopic mucosal resection for small colorectal polyps: a randomized controlled trial.Scientific reports · 2024Article
- Cold snare polypectomy: A closer look at the efficacy and limitations for polyps 10-20 mm in size.World journal of gastrointestinal endoscopy · 2024Article
- Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review.Journal of clinical medicine · 2024Article
- Hot snare polypectomy using bipolar snare: an easy and feasible approach for intermediate-sized colorectal lesions.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024Article
- Verification of the increase in concomitant dysplasia and cancer with the size of sessile serrated lesions.Endoscopy international open · 2024Article
- A new nomogram use neutrophil-to-lymphocyte ratio and fibrinogen-to-lymphocyte ratio to predict the recurrence of colorectal adenoma.Journal of gastrointestinal oncology · 2023Article
- Article
- JAG consensus statements for training and certification in flexible sigmoidoscopy.Frontline gastroenterology · 2023Article
- JAG consensus statements for training and certification in colonoscopy.Frontline gastroenterology · 2023Article
- Modified underwater endoscopic mucosal resection for intermediate-sized sessile colorectal polyps.Frontiers in medicine · 2023Article
- Issues and Prospects of Current Endoscopic Treatment Strategy for Superficial Non-Ampullary Duodenal Epithelial Tumors.Current oncology (Toronto, Ont.) · 2022Review
- From advanced diagnosis to advanced resection in early neoplastic colorectal lesions: Never-ending and trending topics in the 2020s.World journal of gastrointestinal surgery · 2022Review
- Effect of cold snare polypectomy for small colorectal polyps.World journal of clinical cases · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLocal recurrence after cold snare polypectomy (CSP) of colorectal polyps has not been well analyzed. In this study, we analyzed the characteristics of local recurrence.
methodsWe retrospectively reviewed consecutive lesions resected by CSP from 2014 to 2016 and lesions that were followed up at ≥ 10 months after CSP, were analyzed. Our indication for CSP was a benign tumor of < 15 mm in size. We analyzed local recurrence and its risk factors using multivariate analyses. In addition, we compared lesions of ≥ 10 mm and < 10 mm. Moreover, therapeutic methods for recurrence were analyzed.
resultsFinally, we analyzed 554 cases out of 820 consecutive cases. The mean polyp size was 5.3 ± 2.8 mm and the en bloc resection and histopathological complete resection rates were 99.3% and 70.2%, respectively. The overall recurrence rate was 1.9% (mean follow-up period: 13.0 ± 4.0 months). Significant differences were observed between 11 recurrent lesions and 543 lesions without recurrence regarding polyp size (8.0 ± 3.7 mm vs. 5.2 ± 2.7 mm, p < 0.001), rate of sessile-serrated polyp (27.3% vs. 3.0%, p < 0.001), and histopathological positive margin (45.4% vs. 3.7%, p = 0.019). Multivariate analyses showed that a histopathological positive margin was the only significant risk factor for local recurrence (OR 16.600, 95% CI 3.707-74.331, p < 0.001). Regarding the comparison between 74 lesions of ≥ 10 mm and 480 lesions of < 10 mm, significant differences were observed in the en bloc resection rate (93.2% vs. 100%, p < 0.001), high-grade dysplasia rate (8.1% vs. 0.8%, p < 0.001), and histopathological complete resection rate (54.0% vs. 72.7%, p = 0.001). The recurrence rates of these two groups were 5.4% and 1.4%, respectively (p = 0.069). All recurrent cases could be resected with repeat CSP.
conclusionsThe local recurrence rate after CSP for lesions of < 10 mm was 1.4%. CSP was not recommended for lesions of ≥ 10 mm due to high rates of recurrence and malignancy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.