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THER ADV GASTROENTER: Perioperative safety analysis of antithrombotic drugs in patients with colorectal polyps undergoing cold snare resection

 Last Update: 2022-04-21
 Source: Internet
 Author: User

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Because of its excellent efficacy and safety profile, cold snare polypectomy (CSP) is the standard of care recommended in clinical guidelines for colorectal polyps ≥10 mm
.

Compared with thermal snare polypectomy (HSP), CSP requires more superficial dissection but less damage to submucosal arteries than HSP, thereby minimizing adverse events such as perforation and delayed bleeding

Because of its excellent efficacy and safety profile, cold snare polypectomy (CSP) is the standard of care recommended in clinical guidelines for colorectal polyps ≥10 mm

A total of 17 studies were included in this meta-analysis, including 5 randomized trials
.

More than 96% of polyps are 1 cm

This study demonstrates the feasibility of CSP in patients with perioperative antiplatelet drugs and warfarin, especially for small polyps
.

However, discontinuation should be considered when using DOACs or multiple drugs, even with clips that carry a higher risk of bleeding

This study demonstrates the feasibility of CSP in patients with perioperative antiplatelet drugs and warfarin, especially for small polyps

Jen-Hao Yeh.

Safety of cold snare polypectomy with periprocedural antithrombotic agents for colorectal polyps: a systematic review and meta-analysis.
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