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AGA Clinical Practice Update on Appropriate and Tailored Polypectomy: Expert Review.
Andrew P Copland1, Charles J Kahi2, Cynthia W Ko3
1Division of Gastroenterology and Hepatology, University of Virginia Health System, Charlottesville, Virginia.
Summary
This clinical practice update guides endoscopists on appropriate polypectomy techniques for polyps less than 2 cm. It emphasizes structured assessment, specific tool use (cold snare, hot snare), and when to refer for complex cases or suspected cancer.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
- Polyp Management
Background:
- Colorectal polyps are common, and their appropriate management is crucial for preventing colorectal cancer.
- Practicing endoscopists frequently encounter polyps <2 cm, necessitating clear guidance on optimal resection techniques.
- Varying polypectomy methods exist, requiring standardization for effective and safe polyp removal.
Conclusions:
- Optimal polypectomy technique selection depends on polyp size, morphology, and suspected invasion.
- Structured assessment and appropriate use of cold snare, hot snare, and endoscopic mucosal resection are key for safe and effective polyp removal.
- Referral criteria are established for complex cases, large polyps, or suspected malignancy, ensuring patient safety and optimal outcomes.
