Transanal excision of benign rectal polyps Indications, technique and outcomes

Due to screening programs rectal polyps are increasingly observed nowadays. Mostly, these are adenomas, which can contain or develop into invasive rectal carcinoma. All rectal adenomas should therefore be completely removed. Transanal endoscopic microsurgery is currently the treatment of choice for large rectal adenomas. This review will discuss the current literature regarding the pre-operative work-up and staging of rectal adenomas considered for transanal excision, technical considerations, surgical outcomes as well as alternative approaches.

Source: Seminars in Colon and Rectal Surgery - October 22, 2014 Category: Gastroenterology Authors: M.G. van Vledder, P.G. Doornebosch, E.J.R. de Graaf Source Type: research