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Current Trends in the Management of a Complex Polyp: Endoscopy versus Surgery

  • 0Division of Gastroenterology and Hepatology, Icahn School of Medicine at Mount Sinai South Nassau, Oceanside, New York.
Clinics in Colon and Rectal Surgery +

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April 28, 2025

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April 28, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Colorectal cancer incidence is decreasing due to screening and endoscopic polyp removal. Advanced endoscopic techniques now allow safe resection of complex polyps, previously requiring surgery.

Area Of Science

  • Gastroenterology
  • Endoscopic Surgery
  • Oncology

Background

  • Colorectal cancer often originates from adenomatous polyps or sessile serrated lesions.
  • Screening guidelines and endoscopic polyp resection have reduced colorectal cancer incidence and mortality in the US.
  • Polyp complexity varies by size, location, and morphology, influencing resectability.

Purpose Of The Study

  • To review endoscopic resection techniques for complex colorectal polyps.
  • To discuss advancements in endoscopic tools and their impact on polyp management.
  • To highlight potential challenges in endoscopic polyp resection.

Main Methods

  • Review of current endoscopic resection techniques.
  • Discussion of endoscopic mucosal resection (EMR).
  • Discussion of endoscopic submucosal dissection (ESD) and endoscopic full-thickness resection (EFTR).

Main Results

  • Complex polyps, once requiring surgery, are increasingly resectable endoscopically.
  • Advancements in endoscopic techniques and tools enhance safety and efficacy.
  • EMR, ESD, and EFTR are viable options for complex polyp removal.

Conclusions

  • Endoscopic resection is a safe and effective treatment for complex colorectal polyps.
  • Technological advancements have expanded the role of endoscopy in colorectal cancer prevention.
  • Understanding different endoscopic techniques is crucial for optimal patient management.

Keywords:

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