Colorectal polyp snaring: the smaller, the colder, the bigger!

No doubt, one day we'll enjoy a tremendous minimization of the risk of postcolonoscopy colorectal cancer (CRC) resulting from our desperate effort to improve the quality of colonoscopy. We must admit, however, that the most immediately tangible effect is not so much represented by the desired increase in the diagnosis of clinically relevant (ie, advanced) lesions but rather by an unexpected upsurge in the detection of small colorectal polyps. When we couple an excellent level of cleansing with a meticulous exploration of the mucosa, the most likely outcome for a screening colonoscopy is indeed represented by our warmly anticipated improvement in the adenoma detection rate brought about by the detection of at least 1 diminutive or small polyp.

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