[Polypectomy of the colon by the endoscopic route]

The authors describe the colonoscopic technique with its advantages for the diagnosis of colonic lesions by direct observation, as well as for the possibilities provided in view of obtaining bioptic samples. The colonic polyps are also described under their macroscopic aspect, their potential for malignant evolution and a technique is detailed used in the removal of pediculated and sessile polyps by an endoscopic route. The importance is specified, of a correct preparation of the colon, and the necessity is stressed of sampling multiple fragments for the histopathologic examination. The authors have performed a total of 30 polypectomies in 27 patients, and they stress the advantages of the endoscopic route, especially as compared with the transabdominal colic resections.