Impacts of endoscopic cold snare polypectomy on the complete polypectomy rate and stress response in patients with small colorectal polyps

LI Xiulei; ZHU Yunhe; GUO Chen

doi:10.7619/jcmp.20232711

Journal of Clinical Medicine in Practice > 2024 > 28(1): 78-81. > DOI: 10.7619/jcmp.20232711

LI Xiulei, ZHU Yunhe, GUO Chen. Impacts of endoscopic cold snare polypectomy on the complete polypectomy rate and stress response in patients with small colorectal polyps[J]. Journal of Clinical Medicine in Practice, 2024, 28(1): 78-81. DOI: 10.7619/jcmp.20232711

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Impacts of endoscopic cold snare polypectomy on the complete polypectomy rate and stress response in patients with small colorectal polyps

1.
Endoscopy Center, the Affiliated Hospital of Henan Yellow River Institute of Science and Technology, Zhengzhou, Henan, 450000
2.
Department of Cardiovascular Surgery, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450000

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Received Date: August 27, 2023
Revised Date: October 30, 2023
Available Online: January 22, 2024

Graphical Abstract

Abstract

Abstract

Objective
To investigate the effect of endoscopic cold snare polypectomy (CSP) on the complete polyp resection rate and stress response in patients with colorectal small polyps.
Methods
A total of 138 patients with colorectal small polyps were selected, and were assigned to control group (n=69) and observation group (n=69) according to single-blind randomization method. The control group underwent endoscopic hot snare polypectomy (HSP), and the observation group underwent CSP. The polypectomy time, surgical duration, hospital stay, complete resection rate, the levels of epinephrine (E), norepinephrine (NE), cortisol (Cor), C-reactive protein (CRP), interleukin-6 (IL-6), the 6-month polyp regeneration rate and polyp recurrence rate after operation were compared between the two groups.
Results
The polyp resection time, operation duration, and hospital stay in the observation group lower than those in the control group (P < 0.05); the levels of E, NE, Cor, CRP and IL-6 in two groups were higher after surgery, and the observation group was lower than the control group(P < 0.05).
Conclusion
CSP has a similar complete resection rate to endoscopic HSP in patients with colorectal small polyps, but CSP has less stress and inflammation and is more conducive to recovery.
- endoscopy,
- cold snare polypectomy,
- hot snare polypectomy,
- colorectal small polyps,
- complete resection rate,
- stress response

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References

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Impacts of endoscopic cold snare polypectomy on the complete polypectomy rate and stress response in patients with small colorectal polyps

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