结直肠冷阱切除术：何时选择、何时避免以及如何操作。

IF 11.6 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Clinical Gastroenterology and Hepatology Pub Date : 2024-09-23 DOI:10.1016/j.cgh.2024.08.030

John J Guardiola, Joseph C Anderson, Tonya Kaltenbach, Heiko Pohl, Douglas K Rex

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引用次数: 0

摘要

目前，冷吸法是结肠镜检查中遇到的大多数结肠息肉的首选切除方法。与使用电烧切除术相比，冷切除术的一个主要优势是延迟出血的风险大大降低。冷钳切除术适用于所有≤ 10 毫米的病变和任何大小的非增生性无柄锯齿状病变，但如果病变有粘膜下侵犯或纤维化的重大风险，则应避免使用冷钳切除术。对于某些 11-19 毫米大小的病变和某些≥ 20 毫米的侧向蔓延病变，可以考虑冷钳切除术。本综述将讨论优化冷钳切除术的技巧和技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cold Snare Resection in the Colorectum: When to Choose it, When to Avoid it, and How to Do it.

Cold snaring is now the preferred resection method for the majority of colorectal polyps encountered during colonoscopy. A key advantage of cold resection over resection utilizing electrocautery is a substantially lower risk of delayed hemorrhage. Cold snare resection is preferred for all lesions ≤10 mm and for nondysplastic sessile serrated lesions of any size but should be avoided when lesions have a significant risk of submucosal invasion or fibrosis. Cold snare resection can be considered for certain lesions 11-19 mm in size and some lateral spreading lesions ≥20 mm. This review discusses tips and techniques to optimize cold snare resection.

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来源期刊

Clinical Gastroenterology and Hepatology 医学-胃肠肝病学

CiteScore

16.90

自引率

4.80%

发文量

903

审稿时长

22 days

期刊介绍： Clinical Gastroenterology and Hepatology (CGH) is dedicated to offering readers a comprehensive exploration of themes in clinical gastroenterology and hepatology. Encompassing diagnostic, endoscopic, interventional, and therapeutic advances, the journal covers areas such as cancer, inflammatory diseases, functional gastrointestinal disorders, nutrition, absorption, and secretion. As a peer-reviewed publication, CGH features original articles and scholarly reviews, ensuring immediate relevance to the practice of gastroenterology and hepatology. Beyond peer-reviewed content, the journal includes invited key reviews and articles on endoscopy/practice-based technology, health-care policy, and practice management. Multimedia elements, including images, video abstracts, and podcasts, enhance the reader's experience. CGH remains actively engaged with its audience through updates and commentary shared via platforms such as Facebook and Twitter.