Feasibility of Cold Snare Polypectomy for Multiple Duodenal Adenomas in Patients with Familial Adenomatous Polyposis: A Pilot Study

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  1. 1.

    Spigelman AD, Williams CB, Talbot IC, Domizio P, Phillips RK. Upper gastrointestinal cancer in patients with familial adenomatous polyposis. Lancet. 1989;2:783–785.

  2. 2.

    Basford PJ, Bhandari P. Endoscopic management of nonampullary duodenal polyps. Ther Adv Gastroenterol. 2012;5:127–138.

  3. 3.

    Ruo L, Coit DG, Brennan MF, Guillem JG. Long-term follow-up of patients with familial adenomatous polyposis undergoing pancreaticoduodenal surgery. J Gastrointest Surg. 2002;6:671–675.

  4. 4.

    Inoue T, Uedo N, Yamashina T, et al. Delayed perforation: a hazardous complication of endoscopic resection for non-ampullary duodenal neoplasm. Dig Endosc. 2014;26:220–227.

  5. 5.

    Gallagher MC, Phillips RK, Bulow S. Surveillance and management of upper gastrointestinal disease in familial adenomatous polyposis. Fam Cancer. 2006;5:263–273.

  6. 6.

    Ichise Y, Horiuchi A, Nakayama Y, Tanaka N. Prospective randomized comparison of cold snare polypectomy and conventional polypectomy for small colorectal polyps. Digestion. 2011;84:78–81.

  7. 7.

    Horiuchi A, Nakayama Y, Kajiyama M, Tanaka N, Sano K, Graham DY. Removal of small colorectal polyps in anticoagulated patients: a prospective randomized comparison of cold snare and conventional polypectomy. Gastrointest Endosc. 2014;79:417–423.

  8. 8.

    Choksi N, Elmunzer BJ, Stidham RW, Shuster D, Piraka C. Cold snare piecemeal resection of colonic and duodenal polyps ≥ 1 cm. Endosc Int Open. 2015;3:E508–E513.

  9. 9.

    Bulow S, Bjork J, Christensen IJ, et al. Duodenal adenomatosis in familial adenomatous polyposis. Gut. 2004;53:381–386.

  10. 10.

    Lepilliez V, Chemaly M, Ponchon T, Napoleon B, Saurin JC. Endoscopic resection of sporadic duodenal adenomas: an efficient technique with a substantial risk of delayed bleeding. Endoscopy. 2008;40:806–810.

  11. 11.

    Marques J, Baldaque-Silva F, Pereira P, Arnelo U, Yahagi N, Macedo G. Endoscopic mucosal resection and endoscopic submucosal dissection in the treatment of sporadic nonampullary duodenal adenomatous polyps. World J Gastrointest Endosc. 2015;25:720–727.

  12. 12.

    Repici A, Hassan C, Vitetta E, et al. Safety of cold polypectomy for < 10 mm polyps at colonoscopy: a prospective multicenter study. Endoscopy. 2012;44:27–31.

  13. 13.

    Takeuchi Y, Yamashina T, Matsuura N, et al. Feasibility of cold snare polypectomy in Japan: a pilot study. World J Gastrointest Endosc. 2015;7:1250–1256.

  14. 14.

    Ishikawa H, Mutoh M, Iwama T, et al. Endoscopic management of familial adenomatous polyposis in patients refusing colectomy. Endoscopy. 2016;48:51–55.

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Correspondence to Yoji Takeuchi.

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The authors declare that they have no conflict of interest.


This study was approved by our institutional ethics committee.

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Informed consent was obtained from all individual participants included in the study.

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Cold snare polypectomy for multiple duodenal adenomas in case 2 (MOV 39361 kb)

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Cold snare polypectomy for multiple duodenal adenomas in case 2 (MOV 39361 kb)

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Hamada, K., Takeuchi, Y., Ishikawa, H. et al. Feasibility of Cold Snare Polypectomy for Multiple Duodenal Adenomas in Patients with Familial Adenomatous Polyposis: A Pilot Study. Dig Dis Sci 61, 2755–2759 (2016).

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  • Cold snare polypectomy
  • Adenoma
  • Polyps
  • Familial adenomatous polyposis
  • Cancer staging