Cold Snare Polypectomy Versus Endoscopic Mucosal Resection for Colonic Sessile Serrated Polyps

Inclusion Criteria: * \- Patients able to give informed consent to involvement in trial. For patients who do not speak English, an interpreter will be asked to translate the informed consent * Patients referred to Westmead and Auburn Hospital Endoscopy Unit for a colonoscopy for all indications * Age \> 18 years * At least one SSP 8-20 mm beyond the rectosigmoid junction without any endoscopic features of malignancy * At least one SSP 8-20 mm beyond the rectosigmoid junction that according to the proceduralist, can be removed safely using either CSP or EMR Exclusion Criteria: * Current use of antiplatelets (excluding aspirin) or anticoagulants which have not appropriately been interrupted according to the guidelines \[21\] * Known coagulopathy * Pregnancy * If any doubt about the morphology of the polyp, the patient will be excluded from the study