Colonic polyps. Are we ready to resect and discard?

Cesare Hassan, Alessandro Repici, Angelo Zullo, Vijay Kanakadandi, Prateek Sharma

Research output: Contribution to journalArticlepeer-review


Colorectal cancer represents a major cause of mortality in Western countries, and population-based colonoscopy screening is supported by official guidelines. A significant determinant of the cost of colonoscopy screening/surveillance is driven by polypectomy of diminutive (≤5 mm) lesions. When considering the low prevalence of advanced neoplasia within diminutive polyps, the additional cost of pathologic examination is mainly justified by the need to differentiate between precancerous adenomatous versus hyperplastic polyps. The aim of this review is to summarize the data supporting the clinical application of a resect and discard strategy, also addressing the potential pitfalls associated with this approach.

Original languageEnglish
Pages (from-to)663-678
Number of pages16
JournalGastrointestinal Endoscopy Clinics of North America
Issue number3
Publication statusPublished - Jul 2013


  • Colonoscopy
  • Electronic chromoendoscopy
  • Narrow-band imaging
  • Polypectomy
  • Preservation and incorporation of valuable endoscopic innovations

ASJC Scopus subject areas

  • Gastroenterology


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