Different methods such as standard, hot, and jumbo
forceps are used in endoscopic treatment of diminutive colon
polyps. In the current study, it was aimed to compare efficacy and safety of standard and jumbo
forceps polypectomy methods in treatment of diminutive colon
polyps of ≤5 mm.
Polyps with ≤5 mm which were excised during colonoscopy by using standard or jumbo
forceps were evaluated. Standard and jumbo
forceps polypectomy methods were randomly performed in 212 consecutive patients with diminutive colorectal
polyp. One-
bite polypectomy and complete resection rates were also determined among polypectomy methods. Results of 161 standard
forceps polypectomy and 102 jumbo
forceps polypectomy were retrospectively evaluated. Both one-
bite polypectomy and complete resection rates were significantly higher in the jumbo
forceps polypectomy group than the standard
forceps polypectomy group (P < 0.001). In the subgroup analysis performed according to
polyp sizes, complete resection rate among
polyps with 3-mm diameter was determined as 100%. However, numbers of
bites in 4-mm and 5-mm
polyps were higher in the standard
forceps polypectomy group, and complete resection rate was lower than in the jumbo
forceps polypectomy group (P < 0.001). Both endoscopic treatment methods may be employed in treatment of diminutive colon
polyps with ≤5 mm. However, jumbo
forceps polypectomy is a more effective treatment method in 4- to 5-mm
polyps with high one-
bite polypectomy and complete resection rate.