title: Colonic polyps: are we ready to resect and discard?
abstract: 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.
authors.affiliation: Digestive Endoscopy Unit, IRCCS Istituto Clinico Humanitas, Via Manzoni 56, Rozzano, Milan 20089, Italy. cesareh@hotmail.com
authors.forename: Cesare
authors.initials: C
authors.lastname: Hassan
authors.forename: Alessandro
authors.initials: A
authors.lastname: Repici
authors.forename: Angelo
authors.initials: A
authors.lastname: Zullo
authors.forename: Vijay
authors.initials: V
authors.lastname: Kanakadandi
authors.forename: Prateek
authors.initials: P
authors.lastname: Sharma
mesh_terms: D000236:Adenoma / Q000175:diagnosis* / Q000601:surgery; D003110:Colonic Neoplasms / Q000175:diagnosis* / Q000601:surgery; D003111:Colonic Polyps / Q000175:diagnosis* / Q000601:surgery; D003113:Colonoscopy / Q000592:standards*; D006801:Humans; D062048:Narrow Band Imaging