Currently, the safety and efficacy of endoscopic removal of large colorectal adenomatous polyps is controversial.
A team of endoscopists in Hamburg, Germany, have evaluated the success of the procedure over a period of 12 years.
The team treated 288 patients with polyps larger than 3cm in diameter.
A total of 224 sessile polyps and 78 pedunculated polyps were resected endoscopically.
| Endoscopic removal of large polyps may be particularly useful in patients with high operative risk.
Of 166 patients with benign sessile polyps, 29 suffered a recurrence after endoscopic resection. Recurrence was malignant in only 2 of these patients.
10 of 18 patients with malignant sessile polyps were deemed unsuitable for surgery and instead underwent endoscopic resection. 8 of these patients remained free of recurrence.
The authors of the study conclude. “The results of this study showed that endoscopic resection of large colorectal polyps is safe and effective.”
“In patients with high operative risk, endoscopic removal may be adequate.”