Continuous Anticoagulation and Cold Snare Polypectomy
Authors: Yoji Takeuchi, Takuji Kawamura, Masanori Nojima
Journal: Annals of Internal Medicine (2019)

Letters3 December 2019Continuous Anticoagulation and Cold Snare PolypectomyYoji Takeuchi, MD, Takuji Kawamura, MD, PhD, and Masanori Nojima, MD, PhD, MPHYoji Takeuchi, MDOsaka International Cancer Institute, Osaka, Japan (Y.T.), Takuji Kawamura, MD, PhDKyoto Second Red Cross Hospital, Kyoto, Japan (T.K.), and Masanori Nojima, MD, PhD, MPHCenter for Translational Research, The Institute of Medical Science Hospital, The University of Tokyo, Tokyo, Japan (M.N.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0673 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We hypothesized that the incidence of severe bleeding would be lower with CA+CSP than with HB+HSP. Furthermore, CA+CSP has other important advantages, such as not requiring hospitalization and a shorter procedure time. We therefore wondered whether this intervention could be considered a standard procedure if we could show that it was noninferior to HB+HSP in the incidence of severe bleeding (although we expected CA+CSP to be superior). Another reason for adopting a noninferiority design for this comparison is that this type of trial generally requires a smaller sample size than a superiority design and is thus more feasible.... References1. Fujimoto K, Fujishiro M, Kato M, et al; Japan Gastroenterological Endoscopy Society. Guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment. Dig Endosc. 2014;26:1-14. [PMID: 24215155] doi:10.1111/den.12183 CrossrefMedlineGoogle Scholar2. Kato M, Uedo N, Hokimoto S, et al. Guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment: 2017 appendix on anticoagulants including direct oral anticoagulants [Letter]. Dig Endosc. 2018;30:433-40. [PMID: 29733468] doi:10.1111/den.13184 CrossrefMedlineGoogle Scholar3. Acosta RD, Abraham NS, Chandrasekhara V, et al; ASGE Standards of Practice Committee. The management of antithrombotic agents for patients undergoing GI endoscopy. Gastrointest Endosc. 2016;83:3-16. [PMID: 26621548] doi:10.1016/j.gie.2015.09.035 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Osaka International Cancer Institute, Osaka, Japan (Y.T.)Kyoto Second Red Cross Hospital, Kyoto, Japan (T.K.)Center for Translational Research, The Institute of Medical Science Hospital, The University of Tokyo, Tokyo, Japan (M.N.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-0026. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoContinuous Anticoagulation and Cold Snare Polypectomy Versus Heparin Bridging and Hot Snare Polypectomy in Patients on Anticoagulants With Subcentimeter Polyps Yoji Takeuchi , Katsuhiro Mabe , Yuichi Shimodate , Shinji Yoshii , Shinya Yamada , Mineo Iwatate , Takuji Kawamura , Kinichi Hotta , Koji Nagaike , Nobuaki Ikezawa , Tomoaki Yamasaki , Yoriaki Komeda , Satoshi Asai , Yasuhiro Abe , Takuji Akamatsu , Yuko Sakakibara , Hisatomo Ikehara , Yuzuru Kinjo , Takashi Ohta , Yoko Kitamura , Takashi Shono , Takuya Inoue , Yoshio Ohda , Nozomu Kobayashi , Tokuma Tanuma , Ryu Sato , Taku Sakamoto , Naohiko Harada , Akiko Chino , Hideki Ishikawa , Masanori Nojima , Toshio Uraoka , and Continuous Anticoagulation and Cold Snare Polypectomy Erin L. Tompkins and Mary A. Andrews Metrics Cited byCold Snare Polypectomy for Small Pedunculated Polyps: Next Step in the Cold Revolution?Meeting report of Gastro Update Europe 2020, September 4-5, 2020 3 December 2019Volume 171, Issue 11Page: 863-864KeywordsAnticoagulant therapyAnticoagulantsConflicts of interestDisclosureHemorrhageHeparinHospitalizationsPolypectomiesTreatment guidelines ePublished: 3 December 2019 Issue Published: 3 December 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...