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논문 기본 정보

자료유형
학술저널
저자정보
Han Hee Lee (Department of Internal Medicine College of Medicine The Catholic University of Korea Seoul) Bo In Lee (Department of Internal Medicine College of Medicine The Catholic University of Korea) Jung Wook Kim (Department of Internal Medicine Kyung Hee University School of Medicine) Hyun Lim (Department of Gastroenterology Hallym University Sacred Heart Hospital Anyang Korea) Si Hyung Lee (Department of Internal Medicine Yeungnam University College of Medicine Daegu Korea) Jun Hyung Cho (Department of Internal Medicine Soonchunhyang University College of Medicine Seoul Korea) Yunho Jung (Department of Internal Medicine Soonchunhyang University College of Medicine Cheonan Korea) Kyoung Oh Kim (Department of Internal Medicine Gil Medical Center Gachon University Incheon Korea) Chan Gyoo Kim (Center for Gastric Cancer National Cancer Center Goyang Korea) Kee Myung Lee (Department of Internal Medicine Ajou University School of Medicine Suwon Korea) Jong-Jae Park (Department of Internal Medicine Korea University College of Medicine Seoul Korea) Myung-Gyu Choi (Department of Internal Medicine Catholic University College of Medicine Seoul Korea) Hoon Jai Chun (Department of Internal Medicine Korea University College of Medicine Seoul Korea) Ho Gak Kim (Department of Internal Medicine Catholic University of Daegu School of Medicine Daegu Korea)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제54권 제3호
발행연도
2021.1
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390 - 396 (7page)

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Background/Aims: The aim of this in vivo animal study was to evaluate the effectiveness and safety of dedicated cold snare (DCS)compared with those of traditional snare (TS) for cold snare polypectomy (CSP). Methods: A total of 36 diminutive (5 mm) and 36 small (9 mm) pseudolesions were made by electrocoagulation in the colons ofmini-pigs. Results: For the diminutive lesions, there were no significant differences in technical success rate, procedure time, or completeresection rate between the DCS and TS groups; the rate of uneven resection margin in the DCS group was significantly lower thanthat of the TS group. For small lesions, technical success rate and complete resection rate were significantly higher in the DCS groupthan in the TS group (100% [18/18] vs. 55.6% [10/18], p=0.003; 94.4% [17/18] vs. 40% [4/10], p=0.006). In addition, the procedureduration was significantly shorter, and the rate of uneven resection margin was significantly lower in the DCS group (28.5 sec vs. 66.0sec, p=0.006; 11.1% [2/18] vs. 100% [10/10], p<0.001). Two cases of perforation occurred in the DCS group. Multivariate analysisrevealed that DCS use was independently associated with complete resection. Conclusions: DCS is superior to TS in terms of technical success, complete resection, and reducing the duration of the procedure forCSP of small polyps.
#Animal model #Cold snare polypectomy #Colonic polyps #Dedicated cold snare #Perforation

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참고문헌 (16)

참고문헌 신청
Tappero G / 1992 / Cold snare excision of small colorectal polyps / Gastrointest Endosc 38:310~313 google schola Lee CK / 2013 / Cold snare polypectomy vs. Cold forceps polypectomy using double-biopsy technique for removal of diminutive colorectal polyps : a prospective randomized study / Am J Gastroenterol 108:1593~1600 google schola Kim JS / 2015 / Cold snare polypectomy versus cold forceps polypectomy for diminutive and small colorectal polyps : a randomized controlled trial / Gastrointest Endosc 81:741~747 google schola Shinozaki S / 2018 / Efficacy and safety of cold versus hot snare polypectomy for resecting small colorectal polyps : systematic review and meta-analysis / Dig Endosc 30:592~599 google schola Kawamura T / 2018 / A comparison of the resection rate for cold and hot snare polypectomy for 4-9 mm colorectal polyps : a multicentre randomised controlled trial(CRESCENT study) / Gut 67:1950~1957 google schola

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