Cold forceps polypectomy as good as cold snare polypectomy for removing small polyps during colonoscopy

The key findings of this study were:

1. A total of 179 patients were involved in the study where 279 polyps of 3 mm were removed in total, with 138 in the CSP group and 141 in the CFP group.

2. The mean polypectomy time for CSP was longer than for CFP, despite the fact that CFP removed more polyps in more than one piece than CSP.

3. Positive margin biopsies were found in two instances per cohort, with a 98.3% total resection rate in both groups.

4. There was no substantial difference in complete resection rates between groups, suggesting that CFP was not inferior to CSP.

In conclusion, the findings of TINYPOLYP indicate that polypectomy of ≤3-mm polyps may be conducted safely with cold forceps or cold snare. More research is needed to adequately assess the effectiveness of giant cold forceps in the excision of polyps 4-5 mm.

Reference: 

Wei, M. T., Louie, C. Y., Chen, Y., Pan, J. Y., Quan, S. Y., Wong, R., Brown, R., Clark, M., Jensen, K., Lau, H., & Friedland, S. (2022). Randomized Controlled Trial Investigating Cold Snare and Forceps Polypectomy Among Small POLYPs in Rates of Complete Resection: The TINYPOLYP Trial. In American Journal of Gastroenterology (Vol. 117, Issue 8, pp. 1305–1310). Ovid Technologies (Wolters Kluwer Healthy). https://doi.org/10.14309/ajg.0000000000001799