The application of cold snare polyppectomy in the treatment of 5-10 mm colonic polyps in children
10.3760/cma.j.issn.1673-4912.2023.10.009
- VernacularTitle:内镜下冷圈套器切除术在儿童5~10 mm结肠息肉治疗中的应用
- Author:
Renmin ZHOU
1
;
Ying CHEN
;
Qiong LIN
;
Guorong TANG
Author Information
1. 江南大学附属儿童医院消化内科，无锡 214000
- Keywords:
Snare;
Colonic polyps;
Colonoscopy;
Complications
- From:
Chinese Pediatric Emergency Medicine
2023;30(10):761-764
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy and safety of endoscopic cold snare polypectomy(CSP)and hot snare polypectomy(HSP)on 5 to 10 mm colonic polyps in children.Methods:One hundred and eighteen children, who underwent colonoscopy at Children′s Hospital Affiliated to Jiangnan University from June 2018 to June 2022 and found polyps with a diameter of 5-10 mm, were selected as the study subjects.They were divided into two groups by random number table method, with CSP(CSP group) and HSP(HSP group) for polypectomy respectively.The time required to remove a single polyp, intraoperative bleeding rate, postoperative bleeding rate, abdominal discomfort rate, hospitalization time, and hospitalization costs were compared between two groups.Results:Among 118 cases, there were 58 cases in CSP group, including 36 males and 22 females, with an average age of (6.17±3.34) years.There were 60 cases in HSP group, including 34 males and 26 females, with an average age of (5.68±3.18) years.There were no significant differences in sex and age between two groups( P>0.05). Compared with HSP group, the time required to remove a single polyp in CSP group was shorter[(6.68±0.34)min vs.(7.60±0.53)min], the rate of delayed postoperative bleeding was lower (0 vs.10.0%), the hospitalization time was shorter[(5.50±1.87) d vs.(6.38±1.38) d], and the hospitalization expenses were lower[(7 646.99±3 575.10)yuan vs.(10 006.47±3 657.42)yuan]. The differences were statistically significant (all P<0.05). Conclusion:The application of CSP to remove 5-10 mm colon polyps in children could shorten surgical treatment time and reduce the occurrence of complications.At the same time, it could reduce the hospitalization time and cost, and the overall effect is positive and safe, which is worthy of popularization and application by pediatricians in clinical practice.
