Management of complex polyps of the colon and rectum.
Int J Colorectal Dis
; 33(2): 115-129, 2018 Feb.
Article
em En
| MEDLINE
| ID: mdl-29282496
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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Reto
/
Pólipos do Colo
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article