Guidelines for Colorectal Cold Polypectomy (supplement to "Guidelines for Colorectal Endoscopic Submucosal Dissection/Endoscopic Mucosal Resection")

Dig Endosc. 2022 May;34(4):668-675. doi: 10.1111/den.14250. Epub 2022 Mar 1.

Abstract

The Japan Gastroenterological Endoscopy Society published the second edition of the "Guidelines for Colorectal Endoscopic Submucosal Dissection/Endoscopic Mucosal Resection" in 2019 to clarify the indications for colorectal endoscopic mucosal resection (EMR) and endoscopic submucosal dissection and to ensure appropriate preoperative diagnoses as well as effective and safe endoscopic treatment in front-line clinical settings. Endoscopic resection with electrocautery, including polypectomy and EMR, is indicated for colorectal polyps. Recently, the number of facilities introducing and implementing cold polypectomy without electrocautery has increased. Herein, we establish supplementary guidelines for cold polypectomy. Considering that the level of evidence for each statement is limited, these supplementary guidelines must be verified in clinical practice.

Keywords: cold forceps polypectomy; cold polypectomy; cold snare polypectomy; colorectal polyp; guidelines.

Publication types

  • Review

MeSH terms

  • Colonic Polyps* / surgery
  • Colonoscopy
  • Colorectal Neoplasms* / surgery
  • Endoscopic Mucosal Resection*
  • Endoscopy, Gastrointestinal
  • Gastroenterology*
  • Humans