Impacts of endoscopic cold snare polypectomy on the complete polypectomy rate and stress response in patients with small colorectal polyps
- VernacularTitle:内镜下圈套器冷切除术对结直肠小息肉患者息肉完整切除率及应激反应的影响
- Author:
Xiulei LI
1
;
Yunhe ZHU
;
Chen GUO
Author Information
- Keywords: endoscopy; cold snare polypectomy; hot snare polypectomy; colorectal small pol-yps; complete resection rate; stress response
- From: Journal of Clinical Medicine in Practice 2024;28(1):78-81
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effect of endoscopic cold snare polypectomy(CSP)on the complete polyp resection rate and stress response in patients with colorectal small polyps.Methods A total of 138 patients with colorectal small polyps were selected,and were assigned to control group(n=69)and observation group(n=69)according to single-blind randomization method.The control group underwent endoscopic hot snare polypectomy(HSP),and the observation group underwent CSP.The polypectomy time,surgical duration,hospital stay,complete resection rate,the levels of ep-inephrine(E),norepinephrine(NE),cortisol(Cor),C-reactive protein(CRP),interleukin-6(IL-6),the 6-month polyp regeneration rate and polyp recurrence rate after operation were compared between the two groups.Results The polyp resection time,operation duration,and hospital stay in the observation group lower than those in the control group(P＜0.05);the levels of E,NE,Cor,CRP and IL-6 in two groups were higher after surgery,and the observation group was lower than the control group(P＜0.05).Conclusion CSP has a similar complete resection rate to endoscopic HSP in patients with colorectal small polyps,but CSP has less stress and inflammation and is more condu-cive to recovery.
