PTU-044 Joint Endoscopic/Laparoscopic Procedures for Management of Complex Colonic Polyps

Ptu-220 Are More Colonic Polyps Found with Better Bowel Preparation?

PTU-220 Table 1 Quality of bowel preparation Good Satisfactory Poor No. colonoscopies (%) 2458 (77.8) 1361 (30.6) 623 (14.0) Polyp detection (%) 536 (21.8) 285 (20.9) 132 (21.2) Mean no. polyps (range) 0.48 (0e20) 0.44 (0e9) 0.44 (0e9) Mean no. polyps detected (where present) [median] 2.21 [2] 2.11 [2] 2.06 [1]

Minimally Invasive Approaches for the Management of “Difficult” Colonic Polyps

Traditionally, patients with colonic polyps not amenable to endoscopic removal require open colectomy for management. We evaluated our experience with minimally invasive approaches including endoscopic mucosal resection (EMR), laparoscopic-assisted endoscopic polypectomy (LAEP), and laparoscopic-assisted colectomy (LAC). Patients referred for surgery for colonic polyps were selected for one of ...

Recent advances in the management of large and complex colonic polyps

The endoscopic management of large colonic polyps is a rapidly changing field. Rapid evolution in endoscopic techniques and skills has resulted in diminishing the role of surgery in the management of larger and complex polyps. This is resulting in organ preservation for many who otherwise would have undergone surgery. However, it also poses new challenges. This article reviews these new advance...

Pathology of colonic polyps as it relates to surgical management.

A large variety of polypoid tumors of the colon exist. Regardless of the type, those under one cm may be treated conservatively. Of the adenomatous polyps, the large sessile adenoma, villous or otherwise, is best handled by segmental resection or by complete excision followed later by radical surgery if indicated by further pathologic examination. The presence of a pedicle is no guarantee of th...

Discouraging colonic polyps.