Large-bowel polypectomy via the colonoscope: experience with 80 polyps

Area of Science:

• Gastroenterology
• Endoscopic Surgery

Background:

• Colonic polyps require effective management to prevent colorectal cancer.
• Colonoscopy is a key diagnostic and therapeutic tool for colonic polyps.

Purpose of the Study:

• To present the experience of two colonoscopy units in managing suspected colonic polyps.
• To evaluate the efficacy and safety of colonoscopic polypectomy.

Main Methods:

• Management of 88 patients with 114 suspected colonic polyps across two units.
• Analysis of polyp visualization, snare removal success, and associated morbidity.

Main Results:

• Nearly 25% of suspected polyps were artefacts.
• Most confirmed polyps (all but 10) were successfully removed via snaring.
• Low morbidity rates were observed.
• Five malignant polyps were identified.

Conclusions:

• Colonoscopic polypectomy is the optimal management strategy for colonic polyps.
• Technical aspects of colonoscopic polypectomy and unit setup are crucial for success.