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Dig Dis. 2008;26(4):342-6. doi: 10.1159/000177020. Epub 2009 Jan 30.

Polypectomy techniques for difficult colon polyps.

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1
Department of Gastroenterology, Hepatology and Infectious Diseases, Otto von Guericke University, Magdeburg, Germany. Klaus.Moenkemueller@medizin.uni-magdeburg.de

Abstract

A difficult polyp is any flat or raised colonic mucosal lesion that given its size, shape or location makes it difficult for the colonoscopist to remove. Although many 'difficult polyps' will be an easy target for the advanced endoscopist, polyps that are >15 mm, have a large pedicle, are flat and extended, are difficult to see or are located in the cecum or any angulated portion of the colon should be always considered difficult. Post-polypectomy complications are more common in the presence of difficult polyps. This review describes several useful tips and tricks to deal with such polyps.

PMID:
19188726
DOI:
10.1159/000177020
[Indexed for MEDLINE]
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