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Jumbo forceps effective for complete resection of diminutive polyps
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Jumbo forceps polypectomy was effective for complete resection of diminutive colorectal polyps, achieving similar success when compared with cold snare polypectomy, according to research published in Gastrointestinal Endoscopy.
Joon Sung Kim, MD, PhD, of the division of gastroenterology at the College of Medicine at Incheon St. Mary’s Hospital, the Catholic University of Korea, and colleagues wrote that previous studies have reported that jumbo forceps are effective, few have made a direct comparison with cold snare.
“Compared with standard biopsy forceps, jumbo forceps offers the advantage of a wider opening diameter that allows for complete resection with fewer bites,” they wrote. “Currently, only one prospective study directly compared the resection rates of jumbo forceps with standard cold forceps.”
Researchers screened 1,003 patients at two tertiary care referral centers and enrolled 169 of them in a prospective, randomized controlled trial. They randomly selected patients to undergo polypectomy with either jumbo forceps (n = 98) or cold snare (n = 98). Complete polyp resection rate served as the primary endpoint.
Of the 196 diminutive polyps they identified, researchers found that 177 were adenomatous. The overall resection rate for these polyps was 92.1%.
Investigators found that the complete resection rate was not significantly different between jumbo forceps and cold snare groups (92% vs. 92.2%). They found that jumbo forceps were able to achieve resection rates for polyps larger than 3 mm that were comparable to rates achieved by cold snare (90.3% vs. 89.8%).
Kim and colleagues wrote that their findings show that jumbo forceps can be used for any polypectomy where forceps are considered.
“[Jumbo forceps] achieved complete resection rate of 92% for adenomatous [diminutive colorectal polyps] and was noninferior to [cold snare polypectomy],” they wrote. “[Jumbo forceps] may be also effective for polyps of [greater than] 3 mm.” – by Alex Young
Disclosures: The authors report no relevant financial disclosures.
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