Polypectomy
This is a personal webpage, reflecting my own personal views and not the views of anyone or any organization which I may be affiliated to or part of.
All the information provided here including recommendations and suggestions should be treated for informational purposes only and not a coercion to follow.
The author should not be held liable for any informational errors, incompleteness, delays or for any actions taken in reliance on information contained here.
Size >2cm should do piecemeal. Unlikely single attempt snare will succeed
Elevate with injection before removal
Be careful over caecum
Consider surgery if
- >1/3 circumference
- >2 haustral folds
- Base of appendix
Signs of malignancy:
- Firm in consistency
- Ulcerateed
- Friable
- Adherence to underlying structure and hard to elevate with injection
Postadenoma resection
1-2 tubular adenomas of <1 cm 5-10 y interval
3-10 adenomas or adenoma with villous features, ≥1 cm or with HGD 3 y interval
>10 adenomas <3 y interval
Sessile adenoma of ≥2 cm, removed piecemeal 2-6 m interval
edited 12th July 2010