Abstract

With improved instrumentation and endoscopic technique coupled with the pre-injection of an adrenaline/sclerosant mixture, nearly all pedunculated polyps can be rapidly and relatively easily removed. Only a few very large broad-based or sessile polyps require referral to the surgeon; even some of these can be managed endoscopically if the patient is unfit or unwilling for surgery, but willing to undergo multiple repeat endoscopies.