Cold snare polypectomy for 5-9mm small-bowel polyps in patients with Peutz-Jeghers syndrome by double-balloon enteroscopy: a prospective clinical trial.
prospective_cohort · Level II
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- Also identified by DOI 10.14309/ajg.0000000000004176.
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Abstract
Evaluating the feasibility of cold snare polypectomy (CSP) for small-bowel polyps in patients with Peutz-Jeghers syndrome (PJS). PJS patients aged 8-60 years were prospectively enrolled. Small-bowel polyps measuring 5-9mm of the stubby/wide pedicle or sessile type were resected using CSP. Forty patients with 187 target polyps were included. Median size 6 mm and mean polypectomy time 66.4±46.6s. Immediate bleeding rate was 5.9%, with bleeding polyps significantly larger (8mm vs 6mm, P < 0.001). No perforation or delayed bleeding occurred. CSP is feasible and safe for 5-9 mm small-bowel polyps in PJS patients.