Large colon polyps: endoscopic resection or colectomy?

Abstract

Background: Endoscopic polypectomy is an accepted procedure for prevention of colorectal cancer. Yet, large and difficult polyps present a technical and medical challenge to correct treatment.
Objective: The aim of this study was to report and analyze the experience in the treatment of large colon polyps.
Material and methods: We analyzed the endoscopic resection of large colon polyps performed between January 2006 and March 2018.
Results: Of 3397 lower gastrointestinal endoscopies, 22 patients underwent resection of 25 large polyps (0.64%). There were no complications or deaths in the series.
Conclusions: Endoscopic resection of large colon polyps is feasible and safe in lesions > 20 mm in diameter. The procedure serves both as biopsy or definite treatment and is an additional tool for the surgeon who has the capability of dealing with the complications or completing with surgery.