MANAGEMENT OF SMALL COLORECTAL POLYPS IN THE AGE OF IMAGE ENHANCEMENT ENDOSCOPY

Abstract

We describe the management of small colorectal polyps of less than 1 cm size. Image enhancement endoscopy and magnifying observation are useful for the differentiation of hyperplastic polyps, adenomas, and cancers, and it is especially important to exclude cancers with cold polypectomy. Cold polypectomy is rapidly spreading because postoperative bleeding is extremely rare and perforation is almost non-existent. However, EMR should be chosen for lesions suspected of being cancerous, even if they are minute. The use of the latest equipment, including artificial intelligence, has made precise diagnosis and treatment easier.