Chinese expert consensus on cold snare polypectomy for colorectal polyps (2023, Hangzhou)

doi:10.3877/cma.j.issn.2095-7157.2023.02.001

Abstract

Abstract:

Early detection and prompt treatment of colorectal polyps are effective for reducing the incidence and mortality of colorectal cancers.Endoscopic cold snare polypectomy (CSP) plays an important role in the treatment of colorectal polyps.However, no specific consensus on CSP procedure has been published in China. In 2023, Based on the latest domestic and foreign evidence-based evidence, authoritative experts in the field all over the country under the leadership of Chinese Society of Digestive Endoscopology conducted a comprehensive discussion and proposed the consensus, to serve as a tool for Chinese endoscopists to standardize CSP procedure for colorectal polyps.There are five parts in the consensus, with 18 recommendations, including selection of indications, standardization of CSP procedure, evaluation of safety, processing of specimen, and post-procedural management.

Key words: China, Colorectal polyps, Cold snare polypectomy, Expert consensus

Chinese Society of Digestive Endoscopology, Beijing 100710, China. Chinese expert consensus on cold snare polypectomy for colorectal polyps (2023, Hangzhou)[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2023, 10(02): 73-82.

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References 80

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证据质量	等级	定义
高等质量	A	非常确信估计的效应值接近真实效应值，进一步研究也不可能改变其可信度
中等质量	B	对估计的效应值确信度中等，其有可能接近真实效应值，进一步研究有可能改变其可信度
低等质量	C	对估计的效应值确信度有限，其与真实效应值可能大不相同，进一步研究极有可能改变其可信度
很低等质量	D	对估计的效应值几乎没有信心，其与真实效应值很可能完全不同，对其的任何估计都很不确定

证据质量	等级	定义
高等质量	A	非常确信估计的效应值接近真实效应值，进一步研究也不可能改变其可信度
中等质量	B	对估计的效应值确信度中等，其有可能接近真实效应值，进一步研究有可能改变其可信度
低等质量	C	对估计的效应值确信度有限，其与真实效应值可能大不相同，进一步研究极有可能改变其可信度
很低等质量	D	对估计的效应值几乎没有信心，其与真实效应值很可能完全不同，对其的任何估计都很不确定

推荐强度	等级	定义
强	1	明确显示干预措施利大于弊或者弊大于利，在大多数情况下适用于大多数患者
弱	2	利弊不确定，或无论质量高低证据均显示利弊适当，适用于很多患者，但根据患者价值观与偏好性会有差异

推荐强度	等级	定义
强	1	明确显示干预措施利大于弊或者弊大于利，在大多数情况下适用于大多数患者
弱	2	利弊不确定，或无论质量高低证据均显示利弊适当，适用于很多患者，但根据患者价值观与偏好性会有差异

投票选项	定义
1	完全同意
2	同意，有较小保留意见
3	同意，有较大保留意见
4	不同意

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