Minimally invasive approaches for the management of difficult colonic polyps

Eric M. Haas, R. Alejandro Cruz, Madhu Ragupathi, Rodrigo Pedraza, T. Bartley Pickron, Quy Hoa Le Thi

Research output: Contribution to journalArticle

Abstract

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 three minimally invasive modalities. A total of 123 patients were referred for resection of difficult polyps. Thirty underwent EMR, 25 underwent LAEP, and 68 underwent LAC. Of those selected to undergo EMR or LAEP, 76.4% were successfully managed without colon resection. The remaining 23.6% underwent LAC. Nine complications were encountered, including two requiring reoperative intervention. Of the 123 patients, three were found to have malignant disease on final pathology. Surgical resection can be avoided in a significant number of patients with difficult polyps referred for surgery by performing EMR and LAEP. In those who require surgery, minimally invasive resection can be achieved.

Original languageEnglish (US)
Article number682793
JournalDiagnostic and Therapeutic Endoscopy
DOIs
StatePublished - 2011
Externally publishedYes

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Colonic Polyps
Colectomy
Polyps
Minimally Invasive Surgical Procedures
Colon
Pathology
Endoscopic Mucosal Resection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Minimally invasive approaches for the management of difficult colonic polyps. / Haas, Eric M.; Cruz, R. Alejandro; Ragupathi, Madhu; Pedraza, Rodrigo; Pickron, T. Bartley; Le Thi, Quy Hoa.

In: Diagnostic and Therapeutic Endoscopy, 2011.

Research output: Contribution to journalArticle

Haas, Eric M. ; Cruz, R. Alejandro ; Ragupathi, Madhu ; Pedraza, Rodrigo ; Pickron, T. Bartley ; Le Thi, Quy Hoa. / Minimally invasive approaches for the management of difficult colonic polyps. In: Diagnostic and Therapeutic Endoscopy. 2011.
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