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. 2020 Aug 26;15(3):391–400. doi: 10.5009/gnl20140

Table 4.

Preferred Endoscopic Resection Techniques for Pedunculated Polyps: Results of the Scenario-Based Survey

Condition Techniques Overall (n=154) Indonesia (n=16) Korea (n=47) Malaysia (n=15) Mongolia (n=24) Myanmar (n=7) Thailand (n=40) Vietnam (n=5)
Pedunculated polyps with head size <20 mm and stalk width <10 mm CSP 11 (7.1) 1 (6.3) 0 1 (6.7) 7 (29.2) 0 2 (5.0) 0
HSP 100 (64.9)* 13 (81.3)* 15 (31.9) 13 (86.7)* 13 (54.2)* 6 (85.7)* 35 (87.5)* 5 (100)*
EMR 40 (26.0) 2 (12.5) 32 (68.1)* 1 (6.7) 2 (8.3) 1 (14.3) 2 (5.0) 0
ESD 3 (1.9) 0 0 0 2 (8.3) 0 1 (2.5) 0
Prophylactic hemostasis Clipping 91 (59.1)* 12 (75.0)* 15 (31.9) 5 (33.3) 21 (87.5)* 5 (71.4)* 30 (75.0)* 3 (60.0)*
Detachable snare 10 (6.5) 1 (6.3) 2 (4.3) 1 (6.7) 3 (12.5) 1 (14.3) 1 (2.5) 1 (20.0)
None 53 (34.4) 3 (18.8) 30 (63.8)* 9 (60.0)* 0 1 (14.3) 9 (22.5) 1 (20.0)
Pedunculated polyps with head size ≥20 mm or stalk width ≥10 mm CSP 1 (0.6) 0 0 0 0 1 (14.3) 0 0
HSP 90 (58.4)* 12 (75.0)* 12 (25.5) 13 (86.7)* 11 (45.8)* 6 (85.7)* 32 (80.0)* 4 (80.0)*
EMR 58 (37.7) 4 (25.0) 34 (72.3)* 2 (13.3) 11 (45.8)* 0 6 (15.0) 1 (20.0)
ESD 3 (1.9) 0 1 (2.1) 0 2 (8.3) 0 0 0
Others 2 (1.3) 0 0 0 0 0 2 (5.0) 0
Prophylactic hemostasis Clipping 87 (56.5)* 7 (43.8)* 20 (42.6)* 7 (46.7)* 20 (83.3)* 4 (57.1)* 28 (70.0)* 1 (20.0)
Detachable snare 51 (33.1) 7 (43.8)* 19 (40.4) 4 (26.7) 4 (16.7) 3 (42.9) 11 (27.5) 3 (60.0)*
None 16 (10.4) 2 (12.5) 8 (17.0) 4 (26.7) 0 0 1 (2.5) 1 (20.0)

Values are presented as number (%).

CSP, cold snare polypectomy; HSP, hot snare polypectomy; EMR, endoscopic mucosal resection; ESD, endoscopic submucosal dissection.

*The most preferred method for each condition; †Others indicates referring the case to specialist endoscopists.