Abstract

RODRIGUEZ, Gerardo M  and  PRIETO, Analía M. Large colon polyps: endoscopic resection or colectomy?. Rev. argent. cir. [online]. 2019, vol.111, n.3, pp.153-162. ISSN 2250-639X.

Background: Endoscopic polypectomy is an accepted procedure for prevention of colorectal cancer. Yet, large and difficult polyps present a technical and medical challenge to correct treatment. Objective: The aim of this study was to report and analyze the experience in the treatment of large colon polyps. Material and methods: We analyzed the endoscopic resection of large colon polyps performed between January 2006 and March 2018. Results: Of 3397 lower gastrointestinal endoscopies, 22 patients underwent resection of 25 large polyps (0.64%). There were no complications or deaths in the series. Conclusions: Endoscopic resection of large colon polyps is feasible and safe in lesions > 20 mm in diameter. The procedure serves both as biopsy or definite treatment and is an additional tool for the surgeon who has the capability of dealing with the complications or completing with surgery.

Keywords : Large colonic polyps; Colonoscopy; Surgeons.

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