In a randomized controlled trial involving 363 patients with large nonpedunculated colorectal polyps, cold endoscopic mucosal resection (EMR) demonstrated a significantly lower rate of major adverse events (1.0%) compared to hot EMR (7.9%, p = .001). While cold resection did result in a higher rate of residual adenoma (23.7% vs 13.8%, p = .020), safety advantages were evident in lower incidences of perforation and bleeding. These findings suggest a need for tailored approaches based on polyp characteristics.
• Why it matters: Safer polyps removal methods can reduce complication risks.
Journal Article by Steinbrück I, Ebigbo A (…) Allgaier HP et 21 al. in Gastroenterology
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