Management of Complex Polyps of the Colon and Rectum

Overview

Journal Int J Colorectal Dis

Specialties Gastroenterology
General Surgery

Date 2017 Dec 29

PMID 29282496

Citations 13

Authors

Fernando A Angarita

Adina E Feinberg

Stanley M Feinberg

Robert H Riddell

J Andrea McCart

Affiliations

Soon will be listed here.

Abstract

Puprpose: Benign polyps that are technically challenging and unsafe to remove via polypectomy are known as complex polyps. Concerns regarding safety and completeness of resection dictate they undergo advanced endoscopic techniques, such as endoscopic mucosal resection or surgery. We provide a comprehensive overview of complex polyps and current treatment options.

Methods: A review of the English literature was conducted to identifyarticles describing the management of complex polyps of the colon and rectum.

Results: Endoscopic mucosal resection is the standard of care for the majority of complex polyps. Only polyps that fail endoscopic mucosal resection or are highly suspicious of invasive cancer but which cannot be removed endoscopically warrant surgery.

Conclusion: Several factors influence the treatment of a complex polyp; therefore, there cannot be a "one-size-fitsall" approach. Treatment should be tailored to the lesion's characteristics, the risk of adverse events, and the resources available to the treating physician.

Citing Articles

In vivo evaluation of complex polyps with endoscopic optical coherence tomography and deep learning during routine colonoscopy: a feasibility study.

Nie H, Luo H, Lamm V, Li S, Thakur S, Zhou C Sci Rep. 2024; 14(1):27930.

PMID: 39537775 PMC: 11561322. DOI: 10.1038/s41598-024-78891-5.

Improving the management and outcomes of complex non-pedunculated colorectal polyps at a regional hospital in British Columbia.

Cadili L, Horkoff M, Ainslie S, Chai B, Demetrick J, Langer K Surg Endosc. 2023; 38(3):1257-1263.

PMID: 38097747 DOI: 10.1007/s00464-023-10631-8.

Correlations of high molecular weight adiponectin, tumor necrosis factor-alpha and vascular endothelial growth factors with occurrence of colonic polyps in the prediabetic population.

Zhang H, Zhou L, Zhu J Nagoya J Med Sci. 2023; 85(3):465-475.

PMID: 37829476 PMC: 10565577. DOI: 10.18999/nagjms.85.3.465.

The effectiveness of walking exercise on the bowel preparation before colonoscopy: a single blind randomized clinical trial study.

Rezamand G, Joukar F, Amini-Salehi E, Delam H, Zare R, Samadi A BMC Gastroenterol. 2023; 23(1):351.

PMID: 37814210 PMC: 10561431. DOI: 10.1186/s12876-023-02987-x.

Endoscopic mucosal resection of gastrointestinal polyps with a novel low-temperature plasma radio frequency generator: a non-inferiority multi-center randomized control study.

Cai M, Zhu L, Xu X, Xu J, Zhang D, Zhang Z Surg Endosc. 2023; 37(4):3272-3279.

PMID: 36890416 DOI: 10.1007/s00464-023-09945-4.

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