[Colorectal adenoma: pro-endoscopic removal]

Colorectal adenomas are frequent and are detected in about 20% of screening colonoscopies. Adenoma resection can be performed endoscopically or surgically. Endoscopic resection techniques include snare polypectomy, endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). Endoscopic treatment of colorectal adenomas is highly effective and shows acceptable complication rates. After resection of large adenomas the recurrence rate is substantial. However endoscopic retreatment of recurrent events is mostly successful. Considering the minimally invasive nature of endoscopic resections and concerning logistic and economic aspects, endoscopic resection is the treatment of choice for colorectal adenomas.