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Colon polyps
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Colon polyps

From MayoClinic.com
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DIGESTIVE SYSTEM
Diseases & Conditions  

Treatment

Although some types of colon polyps are far more likely to become malignant than are others, a pathologist usually must examine a polyp under a microscope to determine whether it's potentially cancerous. For that reason, your doctor is likely to remove all polyps discovered during a bowel examination.

The great majority of polyps can be removed during colonoscopy or sigmoidoscopy by snaring them with a wire loop that simultaneously cuts the stalk of the polyp and cauterizes it to prevent bleeding. Some small polyps may be cauterized or burned with an electrical current. Risks of polyp removal (polypectomy) include bleeding and perforation of the colon.

Polyps that are too large to snare or that can't be reached safely need to be surgically removed — often using laparoscopic techniques. This means your surgeon performs the operation through several tiny incisions in your abdominal wall, using small instruments with attached cameras that display your colon on a video monitor. Laparoscopic surgery may result in a faster and less painful recovery than does traditional surgery using a single large incision. Once the section of your colon that contains the polyp is removed, the polyp can't recur, but you have at least a 30 percent chance of developing new polyps in other areas of your colon in the future. For that reason, follow-up care is extremely important.

In cases of rare, inherited syndromes, such as FAP, your surgeon may perform an operation to remove your entire colon and rectum (total proctocolectomy). Then, in a procedure known as ileal pouch-anal anastomosis, a pouch is constructed from the end of your small intestine (ileum) that attaches directly to your anus. This allows you to expel waste normally, although you may have several watery bowel movements a day.

 

 

 

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