Colonoscopic polypectomy was performed using a normal electric video endoscope (
PCF-H290ZI,
PCF-Q260AZI,
CF-HQ290; Olympus, Tokyo, Japan), with carbon dioxide insufflation. All patients received 2 L of polyethylene glycol solution or 1.8–2.4 L of magnesium citrate solution in the morning on the day of the procedure. CSP was performed for small polyps (≤10 mm in maximum diameter) using
Captivator II (Boston Scientific Japan, Tokyo, Japan). Cold forceps polypectomy (CFP) was performed for small polyps (≤4 mm in maximum diameter) using Radial Jaw4 Jumbo cold polypectomy forceps (Boston Scientific Japan, Tokyo, Japan). The same endoscopists that performed CSP used a B-wave (Xemex, Tokyo, Japan),
Captivator II (Boston Scientific Japan, Tokyo, Japan), or SnareMaster (Boston Scientific Japan, Tokyo, Japan) to perform hot snare polypectomy (HSP). For endoscopic mucosal resection (EMR), normal saline was injected into the submucosa before excision.
VIO 300D (ERBE Elektromedizin, Tubingen, Germany) was used as a power source, and all participant endoscopists used the same setting. Decisions on procedures for polyps 3–45 mm in size (i.e., application of HSP, EMR, CSP or CFP) and decisions regarding clip placement for prophylaxis of PPB were made by the endoscopists in charge.
Okugawa T., Oshima T., Nakai K., Eda H., Tamura A., Hara K., Ogawa T., Kono T., Kondo T., Tozawa K., Fukushima M., Tomita T., Fukui H., Watari J, & Miwa H. (2021). Effect of Instruction on Preventing Delayed Bleeding after Colorectal Polypectomy and Endoscopic Mucosal Resection. Journal of Clinical Medicine, 10(5), 928.