Journal article
Colorectal polypectomy and endoscopic mucosal resection (EMR): European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline
M Ferlitsch, A Moss, C Hassan, P Bhandari, JM Dumonceau, G Paspatis, R Jover, C Langner, M Bronzwaer, K Nalankilli, P Fockens, R Hazzan, IM Gralnek, M Gschwantler, E Waldmann, P Jeschek, D Penz, D Heresbach, L Moons, A Lemmers Show all
Endoscopy | Published : 2017
Abstract
Main recommendations 1 ESGE recommends cold snare polypectomy (CSP) as the preferred technique for removal of diminutive polyps (size ≤ 5 mm). This technique has high rates of complete resection, adequate tissue sampling for histology, and low complication rates. (High quality evidence, strong recommendation.) 2 ESGE suggests CSP for sessile polyps 6 - 9 mm in size because of its superior safety profile, although evidence comparing efficacy with hot snare polypectomy (HSP) is lacking. (Moderate quality evidence, weak recommendation.) 3 ESGE suggests HSP (with or without submucosal injection) for removal of sessile polyps 10 - 19 mm in size. In most cases deep thermal injury is a potential ri..
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Funding Acknowledgements
P. Bhandari has served on Advisory Boards for Fujifilm, Pentax, and Boston Scientific (1 Nov 2015 - 31 Dec 2016, for all); he has participated in preparation of similar guidelines for the British Society of Gastroenterology (BSG). P. Fockens provides ongoing consultancy to Cook, Olympus, Medtronic, and Fujifilm. L. Moons' department has received a grant from Boston Scientific (1 Jan 2016 - 1 January 2017. J. Pohl provides consultancy to Karl Storz (Jan 2016 -). T. Ponchon has provided consultancy to Olympus, Boston Scientific, and Cook Medical (2007 - 2016, for all); his department has received financial support for clinical research from Boston Scientific. M. Rutter's department received an unrestricted grant for a trial (non-polypectomy) from Olympus (2013 - 2016); he is a member of the BSG (2000 -). The following authors have no competing interests: M. Bronzwaer, M. Bourke, N. Burgess, J.-M. Dumonceau, M. Ferlitsch, I. Gralnek, M. Gschwantler, C. Hassan, R. Hazzan, D. Heresbach, P. Jeschek, R. Jover, C. Langner, A. Lemmers, A. Moss, K. Nalankilli, K. Paraskeva, G. Paspatis, D. Penz, J. Regula, A. Repici, E. Waldmann.