{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T15:30:50Z","timestamp":1779204650980,"version":"3.51.4"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n            Background Cold resection of colorectal lesions is widely performed because of its safety and effectiveness; however, it remains uncertain whether adding submucosal injection could improve the efficacy and safety. We aimed to compare cold endoscopic mucosal resection (C-EMR) versus cold snare polypectomy (CSP) for colorectal lesions.<\/jats:p><jats:p>\n            Methods We performed a systematic review of randomized controlled trials (RCTs) identified from PubMed, Cochrane Library, and Embase. The primary outcome was complete resection. Secondary outcomes were procedure time, en bloc resection, and adverse events (AEs). Prespecified subgroup analyses based on the size and morphology of the polyps were performed. The random-effects model was used to calculate the pooled risk ratio (RR) and mean difference, with corresponding 95%CIs, for dichotomous and continuous variables, respectively. Heterogeneity was assessed using the Cochran Q test and I\n            2 statistics.<\/jats:p><jats:p>\n            Results 7 RCTs were included, comprising 1556 patients, with 2287 polyps analyzed. C-EMR and CSP had similar risk ratios for complete resection (RR 1.02, 95%CI 0.98\u20131.07), en bloc resection (RR 1.08, 95%CI 0.82\u20131.41), and AEs (RR 0.74, 95%CI 0.41\u20131.32). C-EMR had a longer procedure time (mean difference 42.1 seconds, 95%CI 14.5\u201369.7 seconds). In stratified subgroup analyses, the risk was not statistically different between C-EMR and CSP for complete resection in polyps&lt;10 mm or \u226510 mm, or for complete resection, en bloc resection, and AEs in the two groups among nonpedunculated polyps.<\/jats:p><jats:p>\n            Conclusions The findings of this meta-analysis suggest that C-EMR has similar efficacy and safety to CSP, but significantly increases the procedure time.<\/jats:p><jats:p>PROSPERO: CRD42023439605.<\/jats:p>","DOI":"10.1055\/a-2275-5349","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T23:34:42Z","timestamp":1710891282000},"page":"503-511","source":"Crossref","is-referenced-by-count":9,"title":["Cold endoscopic mucosal resection versus cold snare polypectomy for colorectal lesions: a systematic review and meta-analysis of randomized controlled trials"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6294-9885","authenticated-orcid":false,"given":"Paula","family":"Arruda do Espirito Santo","sequence":"additional","affiliation":[{"name":"Diagnostic Imaging and Specialized Diagnosis Unit, University Hospital of Federal University of S\u00e3o Carlos, S\u00e3o Carlos, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5389-4368","authenticated-orcid":false,"given":"Gilmara Coelho","family":"Meine","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine (Division of Gastroenterology), FEEVALE University, Novo Hamburgo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6359-9167","authenticated-orcid":false,"given":"Stefano","family":"Baraldo","sequence":"additional","affiliation":[{"name":"Department of Endoscopy, Barretos Cancer Hospital, Barretos, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5500-4701","authenticated-orcid":false,"given":"Eduardo Cerchi","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Evangelical University of Goias, An\u00e1polis, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1056\/NEJMoa1100370","article-title":"Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths","volume":"366","author":"AG Zauber","year":"2012","journal-title":"NEJM"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1977","DOI":"10.1056\/NEJM199312303292701","article-title":"Prevention of colorectal cancer by colonoscopic polypectomy. 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Holme","year":"2023","journal-title":"Endoscopy"}],"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2275-5349.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:08:48Z","timestamp":1730822928000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2275-5349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,19]]},"references-count":34,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2024,6,27]]},"published-print":{"date-parts":[[2024,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2275-5349","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,19]]}}}