Endoscopy Academies Portal

Cold Snare Versus Hot Snare for Removal of Colorectal Polyps [Supporting Resource]

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Learning points

  1. Cold snare polypectomy is best for benign flat or sessile polyps <10mm.
  2. Current European guidelines recommend hot snare for flat or sessile polyps between 10-19mm but there is emerging evidence to support the use of cold snare for these polyps, allowing avoidance of deep thermal injury associated with the use of diathermy. CSP is also a feasible option for the removal of non-dysplastic SSLs >10mm. Individualised assessment of polyp morphology and patient factors should facilitate decision-making regarding resection choice in polyps between 10mm and 20mm.
  3. Hot snare polypectomy/EMR is generally used for benign flat or sessile polyps >20mm and pedunculated polyps

Resource details

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Contributed by: Endoscopy Academies Portal
Authored by: Dr Mairéad McNally and Dr Mo Thoufeeq, BSG
Sheffield Teaching Hospitals
Licence: More information on licences
Last updated: 05 July 2023
First contributed: 31 January 2023
Audience access level: Full user

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