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Managing difficult polyps: techniques and pitfalls

S. Tholoor,O. Tsagkournis,P. Basford,P. Bhandari

Published 2013 in Annals of gastroenterology : quarterly publication of the Hellenic Society of Gastroenterology

ABSTRACT

There is no standardized definition of difficult polyps. However, polyps become difficult and challenging to remove endoscopically when they are large in size, flat in nature, situated in a high-risk location and when access to them is very awkward. Recently, an SMSA (Size, Morphology, Site, Access) classification has been proposed that helps to qualify the degree of difficulty by scoring on the above parameters. This article reviews the features that make polyps difficult to remove and provides some practical tips in managing these difficult polyps. We believe that ‘difficult polyp’ is a relative term and each endoscopist should define their own level of difficulty and what they would be able to handle safely. However, in expert trained hands, most difficult polyps can be safely removed by an endoscopic approach.

PUBLICATION RECORD

  • Publication year

    2013

  • Venue

    Annals of gastroenterology : quarterly publication of the Hellenic Society of Gastroenterology

  • Publication date

    2013-03-29

  • Fields of study

    Medicine

  • Identifiers
    PMID 24714799PMCID 3959925
  • External record

    Open on Semantic Scholar

  • Source metadata

    Semantic Scholar, PubMed

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