Safety of cold snare polypectomy vs conventional hot polypectomy for 4 to 10 mm gastric polyps: A single‐center retrospective study

Endoscopic polypectomy has become standard in the management of most polyps gastrointestinal tract, but bleeding is common adverse event. Polypectomy with a cold snare (CSP) been increasingly utilized recent years, further evidence required to establish its safety gastric polypectomy. The aim this study was compare intraprocedure and postprocedure events patients who underwent CSP vs conventional hot (HSP) polyps. Electronic medical records endoscopy reports all at Kaohsiung Chang Gung Memorial Hospital between January 2019 June 2021 were retrospectively reviewed. Data on patient demographics, polyp characteristics, method polypectomy, collected. A total 193 removed from 111 mean age 58.1 74.8% female. Of these, 142 78 by HSP, compared 51 33 CSP. size 7.9 mm HSP group 7.5 (P = .306). Nine (11.5%) 5 (15.2%) presented immediate that managed endoscopic treatment .755). There no serious event, such as delayed or perforation, occurred study. In multivariate logistic regression, only number resected >1 identified independent risk factor post-polypectomy bleeding. Therefore, non-inferior could be an additional option for removal ≤10 mm.