{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T18:34:46Z","timestamp":1780338886546,"version":"3.54.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T00:00:00Z","timestamp":1582243200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2002Colonoscopy prevents colorectal cancer via the detection and resection of premalignant polyps. This effect may be attenuated by variations in polypectomy, with multiple techniques available and a wide range of experience amongst endoscopists. We assessed current practice against the best available contemporary evidence.<\/jats:p><jats:p>\n          Methods\u2002An online survey was distributed to members of the gastroenterological and surgical societies of seven countries during July 2017.\u200aImages of colorectal polyps were presented and respondents requested to provide the polypectomy technique they would employ in their daily practice. Responses were compared to the evidence-based techniques in the 2017 ESGE Colorectal Polypectomy Guideline.<\/jats:p><jats:p>\n          Results\u2002In total, 707 endoscopists (627 physicians, 71 surgeons, 9 nurse endoscopists, median practice duration 18 years) completed the survey. Of these, 3.1\u200a% selected hot biopsy forceps and 5.2\u200a% hot snare polypectomy (without submucosal lifting) to remove a 3\u200amm ascending colon polyp. Only 43.3\u200a% selected cold snare polypectomy (CSP) to remove an 8\u200amm ascending colon polyp.\u200aSurgical referral was selected by 16.7\u200a% of respondents for a 45\u200amm transverse colon polyp without endoscopic evidence of submucosal invasive cancer (SMIC). Endoscopic resection was selected by 12.0\u200a% for an 80\u200amm sigmoid polyp with imaging consistent with deep SMIC, and a further 26.4\u200a% selected tertiary endoscopist referral, suggesting they had not appreciated that it was endoscopically unresectable.<\/jats:p><jats:p>\n          Conclusion\u2002CSP is underutilized for small polyp resection despite its favorable safety and efficacy. Benign polyps are commonly referred for surgery and overt SMIC is underappreciated using endoscopic imaging. Addressing these issues may reduce diathermy-related adverse events, surgery, and unnecessary colonoscopic procedures for patients and reduce rates of post-colonoscopy colorectal cancer.<\/jats:p>","DOI":"10.1055\/a-1079-4298","type":"journal-article","created":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T09:37:17Z","timestamp":1585906637000},"page":"E445-E455","source":"Crossref","is-referenced-by-count":13,"title":["Clinical implications of decision making in colorectal polypectomy: an international survey of Western endoscopists suggests priorities for change"],"prefix":"10.1055","volume":"08","author":[{"given":"David J.","family":"Tate","sequence":"additional","affiliation":[{"name":"Westmead Hospital, Sydney, New South Wales, Australia"},{"name":"University of Sydney, Sydney, New South Wales, Australia"},{"name":"University Hospital Gent, Gent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lobke","family":"Desomer","sequence":"additional","affiliation":[{"name":"AZ Delta, Roeselare, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven J.","family":"Heitman","sequence":"additional","affiliation":[{"name":"University of Calgary, Calgary, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nauzer","family":"Forbes","sequence":"additional","affiliation":[{"name":"University of Calgary, Calgary, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas G.","family":"Burgess","sequence":"additional","affiliation":[{"name":"Westmead Hospital, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halim","family":"Awadie","sequence":"additional","affiliation":[{"name":"Ha\u2019Emek Medical Center, Afula, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian M.","family":"Gralnek","sequence":"additional","affiliation":[{"name":"Ha\u2019Emek Medical Center, Afula, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen","family":"Geldof","sequence":"additional","affiliation":[{"name":"University Hospital Gent, Gent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"De Looze","sequence":"additional","affiliation":[{"name":"University Hospital Gent, Gent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Rex","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Anderson","sequence":"additional","affiliation":[{"name":"Cheltenham General Hospital, Cheltenham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Bourke","sequence":"additional","affiliation":[{"name":"Westmead Hospital, Sydney, New South Wales, Australia"},{"name":"University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,2,21]]},"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1079-4298.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T09:37:46Z","timestamp":1585906666000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1079-4298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,21]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2020,2,21]]},"published-print":{"date-parts":[[2020,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1079-4298","relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,21]]}}}