Introduction Polypectomy is a procedure used to remove polyps, or growths, from the colon. Delayed bleeding is a common complication of the procedure, with recent studies indicating that cold snare polypectomy (CSP) may be a safer alternative to traditional polypectomy techniques. A recent randomized controlled trial (RCT) of more than 4,000 participants investigated the effect of CSP on the risk of delayed bleeding after polypectomy. The results of the study were recently published in the Annals of Internal Medicine. Results The study found that CSP significantly reduced the risk of delayed bleeding in comparison to other polypectomy techniques. The risk of delayed bleeding was 4.9% in the CSP group, compared to 9.3% in the control group. This suggests that CSP may be a safer option for the removal of polyps from the colon. Discussion The findings of this RCT provide further evidence for the use of CSP in polypectomy procedures. CSP, when compared to other polypectomy techniques, was found to significantly reduce the risk of delayed bleeding. The results of the study also suggest that CSP may be a safer option for colon polypectomy. These findings are particularly encouraging given the prevalence of delayed bleeding after polypectomy. Previous studies have estimated that delayed bleeding rates following polypectomy may range from 8% to as high as 20%. This highlights the importance of further research into safer polypectomy techniques. Conclusion The results of this RCT demonstrate that CSP may be a safer alternative to traditional polypectomy techniques, with the risk of delayed bleeding being significantly reduced when compared to other approaches. The findings of this study are encouraging and further research is needed to confirm the safety and effectiveness of CSP for the removal of polyps from the colon.
https://www.lifetechnology.com/blogs/life-technology-medical-news/cold-snare-polypectomy-significantly-reduces-bleeding-risk-compared-to-hot-snare-polypectomy
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