DOI: 10.14309/ajg.0000000000004176 ISSN: 0002-9270
Cold snare polypectomy for 5-9mm small-bowel polyps in patients with Peutz-Jeghers syndrome by double-balloon enteroscopy: a prospective clinical trial
Shuyan Zeng, Jun Liu, Yueyue Li, Limei Wang, Yanbo Yu, Rui Ji, Jing Guo, Xiu-Li ZuoAIMS:
Evaluating the feasibility of cold snare polypectomy (CSP) for small-bowel polyps in patients with Peutz-Jeghers syndrome (PJS).
METHODS:
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.
RESULTS:
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.
CONCLUSION:
CSP is feasible and safe for 5–9 mm small-bowel polyps in PJS patients.