Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Aug 27, 2026; 18(8): 117626
Published online Aug 27, 2026. doi: 10.4240/wjgs.117626
Published online Aug 27, 2026. doi: 10.4240/wjgs.117626
Refined endoscopic technique combined with cold forceps polypectomy for diminutive colorectal polyps
Xue-Man Wang, Quan Luo, Bo Lian, Jian Dong, Xin-Tong Jiang, Endoscopy Center, Shaoxing People’s Hospital (The First Affiliated Hospital of Shaoxing University), Shaoxing 312300, Zhejiang Province, China
Qin-Wei Xu, Department of Graduate School, Dalian Medical University, Dalian 116044, Liaoning Province, China
Qin-Wei Xu, Endoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China
Yu-Zhen Bi, Department of Gastroenterology, Chun’an County First People’s Hospital (Zhejiang Provincial People’s Hospital, Chun’an Branch), Hangzhou 311700, Zhejiang Province, China
Jun Zhang, Department of Gastroenterology, First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou 310003, Zhejiang Province, China
Co-first authors: Xue-Man Wang and Qin-Wei Xu.
Author contributions: Wang XM and Xu QW designed and wrote the manuscript and they contribute equally to this study as co-first authors; Bi YZ, Luo Q, Lian B, and Dong J performed the research and collected and analyzed the data; Jiang XT and Zhang J prepared all tables, and reviewed and edited the manuscript; all the authors reviewed the manuscript, revised it critically for important intellectual content, and approved the final version for publication.
Supported by Shaoxing Municipal Health and Wellness Science and Technology Plan Project, No. 2024SKY030.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Shaoxing People’s Hospital (Approval No. 2025-YANLI 088-01).
Informed consent statement: Due to the use of de-identified data and the absence of direct human subject involvement, the Ethics Committee waived the requirement of informed consent.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and de-identified dataset are available from the corresponding author at zhangjun1@hmc.edu.cn upon reasonable request.
Corresponding author: Jun Zhang, Chief Physician, Department of Gastroenterology, First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), No. 54 Youdian Road, Hangzhou 310003, Zhejiang Province, China.
Received: January 27, 2026
Revised: February 26, 2026
Accepted: March 27, 2026
Published online: August 27, 2026
Processing time: 200 Days and 23.9 Hours
Revised: February 26, 2026
Accepted: March 27, 2026
Published online: August 27, 2026
Processing time: 200 Days and 23.9 Hours
Core Tip
Core Tip: Results of the present study revealed that the cold forceps polypectomy (CFP)-narrow-band imaging (NBI)-flush technique was efficacious compared with cold snare polypectomy (CSP) for preventing the recurrence of diminutive colorectal adenomas (≤ 5 mm), while also offering additional advantages in procedural efficiency, cost-effectiveness, and specimen retrieval rate. High-pressure waterjet-assisted mucosal lifting and NBI-guided margin assessment optimized the quality of polyp resection making CFP-NBI-flush a feasible alternative to CSP.