{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:00:19Z","timestamp":1792144819040,"version":"4.4.0"},"reference-count":180,"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>Main Recommendations<\/jats:title>\n                  <jats:p>1\u2002ESGE recommends cold snare polypectomy (CSP), to include a clear margin of normal tissue (1\u20132\u200amm) surrounding the polyp, for the removal of diminutive polyps (\u2264\u200a5\u200amm).<\/jats:p>\n                  <jats:p>Strong recommendation, high quality of evidence.<\/jats:p>\n                  <jats:p>2\u2002ESGE recommends against the use of cold biopsy forceps excision because of its high rate of incomplete resection.<\/jats:p>\n                  <jats:p>Strong recommendation, moderate quality of evidence.<\/jats:p>\n                  <jats:p>3\u2002ESGE recommends CSP, to include a clear margin of normal tissue (1\u20132\u200amm) surrounding the polyp, for the removal of small polyps (6\u20139\u200amm).<\/jats:p>\n                  <jats:p>Strong recommendation, high quality of evidence.<\/jats:p>\n                  <jats:p>4\u2002ESGE recommends hot snare polypectomy for the removal of nonpedunculated adenomatous polyps of 10\u201319\u200amm in size.<\/jats:p>\n                  <jats:p>Strong recommendation, high quality of evidence.<\/jats:p>\n                  <jats:p>5\u2002ESGE recommends conventional (diathermy-based) endoscopic mucosal resection (EMR) for large (\u2265\u200a20\u200amm) nonpedunculated adenomatous polyps (LNPCPs).<\/jats:p>\n                  <jats:p>Strong recommendation, high quality of evidence.<\/jats:p>\n                  <jats:p>6\u2002ESGE suggests that underwater EMR can be considered an alternative to conventional hot EMR for the treatment of adenomatous LNPCPs.<\/jats:p>\n                  <jats:p>Weak recommendation, moderate quality of evidence.<\/jats:p>\n                  <jats:p>7\u2002Endoscopic submucosal dissection (ESD) may also be suggested as an alternative for removal of LNPCPs of \u2265\u200a20\u200amm in selected cases and in high-volume centers.<\/jats:p>\n                  <jats:p>Weak recommendation, low quality evidence.<\/jats:p>\n                  <jats:p>8\u2002ESGE recommends that, after piecemeal EMR of LNPCPs by hot snare, the resection margins should be treated by thermal ablation using snare-tip soft coagulation to prevent adenoma recurrence.<\/jats:p>\n                  <jats:p>Strong recommendation, high quality of evidence.<\/jats:p>\n                  <jats:p>9\u2002ESGE recommends (piecemeal) cold snare polypectomy or cold EMR for SSLs of all sizes without suspected dysplasia.<\/jats:p>\n                  <jats:p>Strong recommendation, moderate quality of evidence.<\/jats:p>\n                  <jats:p>10\u2002ESGE recommends prophylactic endoscopic clip closure of the mucosal defect after EMR of LNPCPs in the right colon to reduce to reduce the risk of delayed bleeding.<\/jats:p>\n                  <jats:p>Strong recommendation, high quality of evidence.<\/jats:p>\n                  <jats:p>11\u2002ESGE recommends that en bloc resection techniques, such as en bloc EMR, ESD, endoscopic intermuscular dissection, endoscopic full-thickness resection, or surgery should be the techniques of choice in cases with suspected superficial invasive carcinoma, which otherwise cannot be removed en bloc by standard polypectomy or EMR.<\/jats:p>\n                  <jats:p>Strong recommendation, moderate quality of evidence.<\/jats:p>","DOI":"10.1055\/a-2304-3219","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T18:42:55Z","timestamp":1714156975000},"page":"516-545","source":"Crossref","is-referenced-by-count":340,"title":["Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline \u2013 Update 2024"],"prefix":"10.1055","volume":"56","author":[{"given":"Monika","family":"Ferlitsch","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria"},{"name":"Department of Gastroenterology, Evangelical Hospital, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesare","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy"},{"name":"Endoscopy Unit, Humanitas Clinical and 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