RT Journal
A1 Kao KT, Giap AQ, Abbas MA
T1 ENdoscopic excision of large colorectal polyps as a viable alternative to surgical resection
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD June 1
VO 146
IS 6
SP 690
OP 696
DO 10.1001/archsurg.2011.126
UL http://dx.doi.org/10.1001/archsurg.2011.126
AB 
Several endoscopic techniques are available to remove large colorectal polyps, including piecemeal polypectomy, endoscopic mucosal resection, and endoscopic submucosal resection.4- 7 Recent technological advances have yielded a large armamentarium of endoscopic tools that have widened the spectrum of lesions potentially removable endoscopically to include early carcinoma.6- 12 Most of the data available on the endoscopic management of large colorectal polyps address technical issues, such as the procedural success rate, complications, and short-term outcome. However, as these endoscopic interventions gain wider acceptance, it is important to critically appraise them from a global perspective, taking into account the long-term outcome. From a surgeon's standpoint, it is essential when considering endoscopic removal of a large colorectal polyp not only to understand the immediate technical outcome but to gain an appreciation for the long-term results in terms of recurrence and the need for subsequent intervention, whether endoscopic or surgical.