Cold Forceps or Snares. Cold forceps and cold snares are both options when using cold techniques. Several randomized controlled trials have compared cold ...SkiptomaincontentSkiptosearchSkiptoproductnavigationChooseyourCountryorRegionArgentinaBrazilChileChinaColombiaDeutschlandEuropeIndiaJapanKoreaMalaysiaMexicoPeruSpainUnitedStatesNeedHelp?ContactUsAPerspectiveonColdSnaringGastroenterology / SolutionsforDetectiontoResection / ColdSnaringPerspectives VideoWatchDr.Rex’scompletepresentationandlearnabouthiscoldsnaringtechnique.Watchthevideo×ThemovementtowardscoldsnaringiswhatDr.Rexreferstoasthe“coldrevolution”inpolypectomy.Here,hediscussesthebenefitsofcoldsnaring,andthesizeandtypesofpolypsthatcanberesectedusingthecoldsnaringtechnique. Terms:Diminutivepolypsare1to5millimetersinsize.Smallpolypsare6to9millimetersinsize.Most,butnotalltheevidencethereisaboutcoldsnaringappliestopolypsthatareunder1centimeter.   ManagingComplicationsofHotPolypectomyThecomplicationsofhotpolypectomyarerelatedprimarilytothermalinjury.Whenelectrocauteryisapplied,itgenerallypreventsimmediatebleeding. However,thethermalinjurymayspreaddownintothesubmucosaandsometimesitinjuresthebloodvesselsinthedeepsubmucosa,includingarteries.Laterastheulcerationfromthecauteryishealing,theescharcomesoffthetopofthearteryandtheresultcanbeadelayedhemorrhageinsomeinstances.Adelayedhemorrhageisamuchbiggerproblemthananimmediatehemorrhagebecauseit’sgoingtocausethepatientinmanycasestocomebacktothehospitalwheretheymayrequireadmission,repeatcolonoscopy,evenabloodtransfusion.Immediatebleedingontheotherhandissomethingthatcanbedealtwithduringtheprocedure.Fortunately,withsmallpolypsthebloodvesselsareverysmall.Inmyexperience,itisunlikelythatcoldsnaringwouldresultinanythingmorethanatrickleofblood.Gettinganarterialhemorrhagefromresectionofapolypunderonecentimeterinsizeisveryrare. ColdForcepsorSnaresColdforcepsandcoldsnaresarebothoptionswhenusingcoldtechniques.Severalrandomizedcontrolledtrialshavecomparedcoldforcepstocoldsnaresfordimi