Endoscopic Management of Complex Colorectal Polyps: Current Insights and Future Trends

Rupinder Mann, Mahesh Gajendran, Chandraprakash Umapathy, Abhilash Perisetti, Hemant Goyal, Shreyas Saligram, Juan Echavarria

Research output: Contribution to journalReview articlepeer-review

Abstract

Most colorectal cancers arise from adenomatous polyps and sessile serrated lesions. Screening colonoscopy and therapeutic polypectomy can potentially reduce colorectal cancer burden by early detection and removal of these polyps, thus decreasing colorectal cancer incidence and mortality. Most endoscopists are skilled in detecting and removing the vast majority of polyps endoscopically during a routine colonoscopy. Polyps can be considered “complex” based on size, location, morphology, underlying scar tissue, which are not amenable to removal by conventional endoscopic polypectomy techniques. They are technically more challenging to resect and carry an increased risk of complications. Most of these polyps were used to be managed by surgical intervention in the past. Rapid advancement in endoscopic resection techniques has led to a decreasing role of surgery in managing these complex polyps. These endoscopic resection techniques do require an expert in the field and advanced equipment to perform the procedure. In this review, we discuss various advanced endoscopic techniques for the management of complex polyps.

Original languageEnglish (US)
Article number728704
JournalFrontiers in Medicine
Volume8
DOIs
StatePublished - Jan 20 2022

Keywords

  • colonoscopy
  • colorectal cancer
  • colorectal polyp
  • endoscopic mucosal resection
  • endoscopic submucosal dissection

ASJC Scopus subject areas

  • Medicine(all)

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