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When is a surgical resection needed for colon polyps?

Surgical resection is needed for colon polyps that are not appropriate for endoscopic resection. For example, if cancer is present, endoscopic resection is probably not appropriate. That type of a lesion requires a surgical resection. That's based on the visual impression and maybe confirmed by a previous biopsy. Sometimes endoscopic ultrasound is done, where the endoscopic ultrasound probe looks at the depth of the tumor to see if there is invasion beyond the superficial layer. That picture puts together whether the attempt at endoscopic resection is appropriate or not.

There are some anatomic factors that make completely safe endoscopic resection unlikely. These are by far the minority, but these are some of the factors that a skilled endoscopist will be able to assess. Sometimes doctors try anyway, and if they find that after surveillance there's occurrence that can't be effectively eradicated, then they may move on to refer to surgery.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.