Evidence map›Paper›PMID 34355525›Full record

SynthesisUnited European gastroenterology journal2021

Cold versus hot polypectomy/endoscopic mucosal resection-A review of current evidence.

Raquel Ortigão, Jochen Weigt, Ahmed Afifi, Diogo Libânio

Open access · hybridAbstract readComparative StudySystematic Review
In one paragraph

Synthesis in United European gastroenterology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Dietary restriction after cold snare polypectomy of colorectal polyp for prevention of delayed bleeding.JGH open : an open access journal of gastroenterology and hepatology · 2023
    Article
  9. Endoscopic Resection Techniques for Duodenal and Ampullary Adenomas.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2023
    Review
  10. Endoscopic techniques for gastric neuroendocrine tumors: An update.World journal of gastrointestinal endoscopy · 2023
    Review
  11. UEG journal's editorial team.United European gastroenterology journal · 2022
    Article
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Raquel OrtigãoGastroenterology Department, Portuguese Oncology Institute of Porto, Portugal.
Jochen WeigtGastroenterology Department, Hepatology and Infectious Diseases, Otto-v.-Guericke University, Magdeburg, Germany.
Ahmed AfifiGastroenterology Department, Hepatology and Infectious Diseases, Otto-v.-Guericke University, Magdeburg, Germany.ORCID 0000-0001-8449-640X
Diogo LibânioGastroenterology Department, Portuguese Oncology Institute of Porto, Portugal.ORCID 0000-0003-2691-7522
Otto-von-Guericke-Universität Magdeburg · DEInstituto Português de Oncologia Francisco Gentil · PTUniversidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColonoscopy with polypectomy substantially reduces the risk of colorectal cancer (CRC) but interval cancers still account for 9% of all CRCs, some of which are due to incomplete resection.

aimThe aim of this review is to compare the outcomes of cold and hot endoscopic resection and provide technical tips and tricks for optimizing cold snare polypectomy.

resultsCold snare polypectomy (CSP) is the standard technique for small (≤10 mm) colorectal polyps. For large colonic polyps (>10 mm), hot resection techniques with use of electrocautery (polypectomy or endoscopic mucosal resection) were recommended until recently. However, the use of electrocoagulation brings serious adverse effects in up to 9% of the patients, such as delayed bleeding, post-polypectomy syndrome and perforation. In recent years, efforts have been made to improve the polypectomy with cold snare in order to avoid these adverse effects of electrocoagulation without compromising the efficacy of the resection. Several authors have recently shown that the complication rates of CSP of polyps >10 mm is close to zero and recurrence rates varies between 5-18%. Lower recurrence rates are found in serrated lesions (<8%).

Indexed as

Colonic PolypsColonoscopyColorectal NeoplasmsCryosurgeryElectrocoagulationEndoscopic Mucosal ResectionHemorrhageHumansIntestinal PerforationPatient SafetyPostoperative Complicationscold snare polypectomycolonic polypscolorectal cancerendoscopic mucosal resectionsessile serrated lesion

Identifiers

PMID34355525
PMCPMC8498395
OpenAlexW3191619561

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.