Colonic Polyps Clinical Trial
Official title:
"Remove and Discard" Policy in Colonic Diminutive Polyps: is it Always Safe?
Diminutive polyps, measuring between 1 and 5 mm, represent the vast majority of colorectal
polyps encountered during colonoscopy. Since the chance of harboring advanced adenoma or
carcinoma in this kind of polyps is very low, a "remove and discard" technique has been
proposed.
The differentiation between adenoma/non adenoma polyps is based on the use of endoscopes
equipped with high definition, magnification and optical filters.
Any diminutive polyps encountered during a colonoscopy will be examined with the use of
electronic filters and magnification and assigned by the endoscopist to a adenoma/non adenoma
category, resected and retrieved: a follow up surveillance period will be assigned on the
basis of the endoscopic appearance of the polyps.
Each polyp will then be sent separately to Pathology for the histologic evaluation, and a
surveillance interval period will be determined accordingly.
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