Skip to main content
SpringerLink
Log in

Colonoscopic polypectomy

  • Chapter
Procedures in Hepatogastroenterology

Part of the book series: Developments in Gastroenterology ((DIGA,volume 15))

  • 106 Accesses

Abstract

A colorectal polyp is a circumscribed mass of tissue that projects above the surface of the bowel mucosa1. A polyp is classified as pedunculated when there is a discrete stalk. In cases when there is broad contact between the head of the polyp and the colorectal mucosa the polyps are considered sessile. Polyps can cause intestinal bleeding and in rare cases bowel obstruction; most polyps, however, are asymptomatic. The main reason to remove polyps is their proved relationship with development of colorectal cancer2. Polyps can be divided into neoplastic (adenomas) and non-neoplastic forms. Only the adenomatous polyps have malignant potential and only these should be the target of polypectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Schiele M, Lieberman D. Managing large colonoscopic polyps. In: Barkin JS, O’Phelan CA, editors. Advanced therapeutic endoscopy, 2nd edn. New York: Raven Press; 1994:215–221.

    Google Scholar 

  2. Winawer SJ, Zauber AG, Ho MN et al. Prevention of colorectal cancer by colonoscopic polypectomy. [Review] Dis Colon Rectum. 1993;329:1977–1981.

    CAS  Google Scholar 

  3. Cotton PB, Williams CB. Colonoscopic polypectomy and therapeutic procedures. In: Cotton PB, Williams CB, editors. Practical gastrointestinal endoscopy, 3rd edn. Oxford: Blackwell; 1990: 224–239.

    Google Scholar 

  4. Waye JD. Colonoscopic polypectomy. In: Tytgat GNJ, Classen M, editors. The practice of therapeutic endoscopy. 1994:193–209.

    Google Scholar 

  5. Hackelsberger A, Fruhmorgen P, Weiler H, Heller T, Seeliger H, Junghanns K. Endoscopic polypectomy and management of colorectal adenomas with invasive carcinoma. Endoscopy. 1995;27:153–158.

    Article  PubMed  CAS  Google Scholar 

  6. Cooper HS, Deppisch LM, Gourley WK et al. Endoscopically removed malignant colorectal polyps: clinicopathologic correlations. Gastroenterology. 1995;108:1657–1665.

    Article  PubMed  CAS  Google Scholar 

  7. Singaram C, Torbey CF, Jacoby RF. Delayed postpolypectomy bleeding. Am J Gastroenterol. 1995;90:146–147.

    PubMed  CAS  Google Scholar 

  8. Yokota T, Sugihara K, Yoshida S. Endoscopic mucosal resection for colorectal neoplastic lesions. Dis Colon Rectum. 1994;37:1108–1111.

    Article  PubMed  CAS  Google Scholar 

  9. Shirai M, Nakamura T, Matsuura A, Ito Y, Kobayashi S. Safer colonoscopic polypectomy with local submucosal injection of hypertonic saline-epinephrine solution [See comments]. Am J Gastroenterol. 1994;89:334–338.

    PubMed  CAS  Google Scholar 

  10. Waye JD. Saline injection colonoscopic polypectomy [Editorial; comment]. Am J Gastroenterol. 1994;89:305–306.

    PubMed  CAS  Google Scholar 

  11. Iida Y, Miura S, Munemoto Y et al Endoscopic resection of large colorectal polyps using a clipping method. Dis Colon Rectum. 1994;37:179–180.

    Article  PubMed  CAS  Google Scholar 

  12. Rosen L, Bub DS, Reed JF 3rd, Nastasee SA. Hemorrhage following colonoscopic polypectomy [Review]. Dis Colon Rectum. 1993;36:1126–1131.

    Article  PubMed  CAS  Google Scholar 

  13. Kadakia SC, Goldner FH. Is hot biopsy appropriate for treatment of diminutive colon polyps? In: Barkin JS, O’Phelan CA, editors. Advanced therapeutic endoscopy, 2nd edn. New York: Raven Press; 1994:247–252.

    Google Scholar 

  14. Pollard CW, Nivatvongs S, Rojanasakul A, Reiman HM, Dozois RR. The fate of patients following polypectomy alone for polyps containing invasive carcinoma. Dis Colon Rectum. 1992;35:933–937.

    Article  PubMed  CAS  Google Scholar 

  15. Kyzer S, Begin LR, Gordon PH, Mitmaker B. The care of patients with colorectal polyps that contain invasive adenocarcinoma. Endoscopic polypectomy or colectomy? Cancer. 1992; 70:2044–2050.

    Article  PubMed  CAS  Google Scholar 

  16. Van Gossum A, Cozzoli A, Aider M, Taton G, Cremer M. Colonoscopic snare polypectomy: analysis of 1485 resections comparing two types of current. Gastrointest Endosc. 1992;38:472–475.

    Article  PubMed  Google Scholar 

  17. Chantereau MJ, Faivre J, Boutron MC et al. Epidemiology, management, and prognosis of malignant large bowel polyps within a defined population. Gut. 1992;33:259–263.

    Article  PubMed  CAS  Google Scholar 

  18. Tucker RD, Platz CE, Sievert CE, Vennes JA, Silvis SE. In vivo evaluation of monopolar versus bipolar electrosugical polypectomy snares. Am J Gastroenterol. 1990;85:1386–1390.

    PubMed  CAS  Google Scholar 

  19. Cohen LB, Waye JD. Treatment of colonic polyps —practical considerations. Clin Gastroenterol. 1986;15:359.

    PubMed  CAS  Google Scholar 

  20. Williams CB. Diathermy —biopsy: a technique for the endoscopic management of small polyps. Endoscopy. 1973;5:215.

    Article  Google Scholar 

  21. Kavin H, Sinicrope F, Esker AH. Management of perforation of the colon at colonoscopy. Am J Gastroenterol. 1992;87:161–167.

    PubMed  CAS  Google Scholar 

  22. Christie JP, Marrazzo J. ’Mini-perforation’ of the colon —not all postpolypectomy perforations require laparotomy. Dis Colon Rectum. 1991;34:132–135.

    Article  PubMed  CAS  Google Scholar 

  23. Hall C, Dorricott NJ, Donovan IA, Neoptolemos JP. Colon perforation during colonoscopy: surgical versus conservative management. Br J Surg. 1991;78:542–544.

    Article  PubMed  CAS  Google Scholar 

  24. Waye JD. The postpolypectomy coagulation syndrome. Gastrointest Endosc. 1981;27:181.

    Article  Google Scholar 

  25. Waye JD, Lewis BS, Yessayan S. Colonoscopy, a prospective report of complications. J Clin Gastroenterol. 1992;15:347–351.

    Article  PubMed  CAS  Google Scholar 

  26. Rex DK, Lewis BS, Way JD. Colonoscopy and endoscopic therapy for delayed postpolypectomy hemorrhage. Gastrointest Endosc. 1992;38:127–129.

    Article  PubMed  CAS  Google Scholar 

  27. Nivatvongs S. Complications in colonoscopic polypectomy: lessons to learn from an experience with 1576 polyps. Am J Surg. 1988;54:61–63.

    CAS  Google Scholar 

  28. Waye JD. Endoscopic treatment of adenomas. World J Surg. 1991;15:14–19.

    Article  PubMed  CAS  Google Scholar 

  29. Woods A, Sanowski RA, Wadas DD, Manne RK. Eradication of diminutive polyps: a prospective evaluation of bipolar coagulation versus conventional biopsy removal. Gastrointest Endosc. 1989; 35:536–540.

    Article  PubMed  CAS  Google Scholar 

  30. Waye JD. Techniques of polypectomy: hot biopsy forceps and snare polypectomy. Am J Gastroenterol. 1987;82:615–618.

    PubMed  CAS  Google Scholar 

  31. Granqvist S, Gabrielsson N, Sundelin P. Diminutive colonie polyps: clinical significance and management. Endoscopy. 1979;11:36–42.

    Article  PubMed  CAS  Google Scholar 

  32. Tedesco FR, Hendrix JC, Picken CA, Brady PG, Mills LR. Diminutive polyps: histopathology, spatial distribution and clinical signifiance. Gastrointest Endosc. 1982;28:1–5.

    Article  PubMed  CAS  Google Scholar 

  33. Feczko PL, Bernstein MA, Halpert RD, Ackerman LV. Small colonic polyps: a reappraisal of their significance. Radiology. 1984;152:301–303.

    PubMed  CAS  Google Scholar 

  34. Waye JD, Lewis BS, Frankel A, Geller SA. Small colon polyps. Am J Gastroenterol 1988; 83:120–122.

    PubMed  CAS  Google Scholar 

  35. Vanagunas A, Jacob P, Vakil N. Adequacy of’ hot biopsy’ for treatment of diminutive polyps: a prospective randomized trial. Am J Gastroenterol. 1989;84:383–385.

    PubMed  CAS  Google Scholar 

  36. Peluso F, Goldner F, Follow-up of hot biopsy forceps treatment of diminutive colonie polyps. Gastrointest Endosc. 1991;37:604–606.

    Article  PubMed  CAS  Google Scholar 

  37. Tappero G, Gaia E, De Fiuli P, Martini S, Gubetta L, Emmanuelli G. Cold snare excision of small colorectal polyps. Gastrointest Endosc. 1992;38:310–313.

    Article  PubMed  CAS  Google Scholar 

  38. Bat L, Williams CB. Usefulness of pediatric colonocopes in adult colonosopy. Gastrointest Endosc. 1989;35:329–332.

    Article  PubMed  CAS  Google Scholar 

  39. Rogers BHG. The use of small caliber endoscopes in selected cases increases the success rate of colonoscopy. Gastrointest Endosc. 1989;35:352.

    Article  PubMed  CAS  Google Scholar 

  40. Kozarek RA, Botoman VA, Patterson DJ. Prospective evaluation of a small caliber upper endoscope for colonoscopy after unsuccessful standard examination. Gastrointest Endosc. 1989; 35:333–335.

    Article  PubMed  CAS  Google Scholar 

  41. Nivatvongs S, Snover DC, Fang DT. Piecemeal snare excision of large sessile colorectal polyps. Gastrointest Endosc. 1984;30:18.

    Article  PubMed  CAS  Google Scholar 

  42. Christie JP. Colonoscopic removal of sessile colonic lesions. Dis Colon Rectum. 1978;21:11.

    Article  Google Scholar 

  43. Walsh RM, Ackroyd FW, Shelito PC. Endoscopic resection of large sessile colorectal polyps. Gastrointest Endosc. 1992;38:303–309.

    Article  PubMed  CAS  Google Scholar 

  44. Karita M, Tada M, Okita K, Kodama T. Endoscopic therapy for early colon cancer: the strip biopsy resection technique. Gastrointest Endosc. 1991;37:128–132.

    Article  PubMed  CAS  Google Scholar 

  45. Karita M, Tada M, Okita K. The successive strip biopsy partial resection technique for large early gastric and colon cancers. Gastrointest Endosc. 1992;38:174–178.

    Article  PubMed  CAS  Google Scholar 

  46. Karita M, Cantero D, Okita K. Endoscopic diagnosis and resection treatment for flat adenoma with severe dysplasia. Am J Gastroenterol. 1993;88:1421–1423.

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. W. Bruins Slot
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. N. J. Tytgat
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. GE, AMC, Netherlands

    Guido N. J. Tytgat

  2. GE, Rijnstate Hospital, Arnhem, Netherlands

    Chris J. J. Mulder

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Slot, W.B., Tytgat, G.N.J. (1997). Colonoscopic polypectomy. In: Tytgat, G.N.J., Mulder, C.J.J. (eds) Procedures in Hepatogastroenterology. Developments in Gastroenterology, vol 15. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5702-5_25

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-5702-5_25

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6488-0

  • Online ISBN: 978-94-011-5702-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation