Dr Shamsher Singh Chauhan

Colonoscopy Polypectomy

Polypectomy during a colonoscopy is a therapeutic procedure designed to remove polyps—abnormal growths of tissue—found in the colon or rectum. Since some polyps can develop into colorectal cancer over time, removing them is crucial to prevent malignancy. Colonoscopy polypectomy is widely regarded as a minimally invasive and effective treatment for these growths, offering a preventive approach to colon cancer.

Indications for Polypectomy

Polypectomy is recommended when polyps are identified during a colonoscopy. Polyps may vary in size and type, with the most common being:

  • Adenomatous polyps (adenomas), which are precancerous and have the potential to develop into colorectal cancer.
  • Hyperplastic polyps, generally considered benign with a low cancer risk.
  • Inflammatory polyps, often associated with conditions like inflammatory bowel disease (IBD), though typically benign.

The goal of polypectomy is to remove these polyps to reduce the risk of cancer and to alleviate any associated symptoms, such as bleeding or obstruction.

Risks and Complications

While colonoscopy polypectomy is generally safe, there are potential risks, including:

  • Bleeding: Especially after the removal of larger polyps.
  • Perforation: Rare but serious, where the colon wall may tear.
  • Incomplete polyp removal: In some cases, a follow-up procedure may be necessary.
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