Conventional Hot-Snare Resection Preferred Over Hybrid Technique for Papillary Lesions

Researchers investigated a hybrid hot-snare plus cold-snare resection (HR) technique compared to conventional hot-snare resection (CR) for managing laterally spreading papillary adenomas (LSL-P) in the papilla. HR showed higher rates of recurrent or residual adenoma (RRA) compared to CR (58.8% vs. 29.8%), with an odds ratio of 3.6 times higher for recurrence. While both methods had similar bleeding risks, HR required more procedures to treat RRA. The study concluded that CR remains the preferred option for LSL-P management due to its lower recurrence rates and similar safety profile.