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Related Concept Videos

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Related Experiment Video

Updated: Apr 24, 2026

Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
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Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity

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Advances, problems, and complications of polypectomy.

Andrea Anderloni1, Manol Jovani1, Cesare Hassan1

  • 1Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Research Hospital, Rozzano, Milan, Italy.

Clinical and Experimental Gastroenterology
|September 12, 2014
PubMed
Summary

Colonoscopy effectively prevents colorectal cancer, but high incomplete polyp removal rates and missed serrated polyps cause interval cancers. Newer techniques improve polyp removal, enhancing cancer prevention.

Keywords:
adenomableedingcold snare polypectomycolonoscopycolorectal cancerendoscopic resectionmucosalperforationserrated polypssubmucosal

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Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
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Area of Science:

  • Gastroenterology
  • Endoscopic Surgery
  • Oncology

Background:

  • Colonoscopy with polypectomy is crucial for reducing colorectal cancer incidence and mortality.
  • High rates of incomplete polyp removal and missed polyps contribute significantly to interval colorectal cancers.
  • Serrated polyps are frequently overlooked or incompletely removed, necessitating broader awareness.

Purpose of the Study:

  • To review current endoscopic techniques for removing colorectal polyps and nonpolypoid lesions.
  • To assess the complications associated with different polyp removal methods.
  • To discuss future strategies for improving colorectal cancer prevention through enhanced polyp management.

Main Methods:

  • Review of current literature on colonoscopic polyp removal techniques.
  • Comparison of cold snare polypectomy, hot snare/biopsy forceps, endoscopic mucosal resection, and endoscopic submucosal dissection.
  • Analysis of complication rates and efficacy for various lesion sizes and types.

Main Results:

  • Cold snare polypectomy is recommended for small and diminutive polyps; biopsy forceps are for the smallest.
  • Hot snare or hot biopsy forceps removal of diminutive polyps is discouraged.
  • Endoscopic mucosal resection and endoscopic submucosal dissection are effective for large lesions, often avoiding surgery with low complication rates.

Conclusions:

  • Optimizing polyp removal techniques, particularly for serrated lesions, is critical for reducing interval colorectal cancers.
  • Cold snare polypectomy and advanced endoscopic resection techniques offer improved safety and efficacy.
  • Ongoing research into novel hybrid techniques holds promise for future colorectal cancer prevention strategies.