TY - JOUR T1 - ENdoscopic excision of large colorectal polyps as a viable alternative to surgical resection AU - Kao KT, Giap AQ, Abbas MA Y1 - 2011/06/01 N1 - 10.1001/archsurg.2011.126 JO - Archives of Surgery SP - 690 EP - 696 VL - 146 IS - 6 N2 - 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. SN - 0004-0010 M3 - doi: 10.1001/archsurg.2011.126 UR - http://dx.doi.org/10.1001/archsurg.2011.126 ER -