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Colonoscopic excision of large sessile polyps
The American Journal of Gastroenterology
|May 1, 1977
Summary
Safe endoscopic removal of large sessile colon polyps requires careful consideration of lesion characteristics. Experienced endoscopists should prioritize this technique for benign lesions after mastering simpler polyp removals.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Large sessile colon polyps pose challenges for complete endoscopic removal.
- Determining the safest and most effective excision method is crucial.
Purpose of the Study:
- To document principles for safe and total endoscopic excision of large sessile colon polypoid lesions.
- To identify key factors influencing the choice of polyp removal technique.
Main Methods:
- Review of experience with 80 consecutively encountered large sessile colon polypoid lesions.
- Analysis of endoscopic physical characteristics to guide removal strategy.
Main Results:
- Endoscopic physical characteristics are the primary determinant for selecting the removal method for sessile polyps.
- Piece-meal polypectomy is a technique for large sessile benign lesions.
Conclusions:
- Safe and total endoscopic excision of large sessile polyps relies on understanding lesion morphology.
- Prior extensive experience with colonoscopy and simpler polyp removal is essential before attempting complex techniques like piece-meal polypectomy for large sessile polyps.