Colon polypectomy: A review of routine and advanced techniques

Journal of Clinical Gastroenterology

Volumn 47, Issue 8, 2013, Pages 657-665

  Kedia, Prashant ^a   Waye, Jerome D ^a  

^a MOUNT SINAI MEDICAL CENTER   (United States)

Author keywords

Adenoma; Colonoscopy; Endoscopic mucosal resection; Polyp; Polypectomy

Indexed keywords

BIOPSY FORCEPS; BLEEDING; CAUTERIZATION; COLON CANCER; COLON POLYP; COLON POLYPECTOMY; COLON SURGERY; COLONOSCOPY; ENDOSCOPIC MUCOSAL RESECTION; ENDOSCOPIC POLYPECTOMY; ENDOSCOPIC SUBMUCOSAL DISSECTION; HUMAN; INCIDENCE; LAPAROSCOPIC SURGERY; LAPAROSCOPY; MORTALITY; NONHUMAN; PERFORATION; POLYPECTOMY; PRIORITY JOURNAL; REVIEW; SCREENING; SURGICAL TECHNIQUE; TATTOOING;

ANIMALS; COLONIC NEOPLASMS; COLONIC POLYPS; COLONOSCOPY; ELECTROCOAGULATION; HUMANS; INTESTINAL MUCOSA; MASS SCREENING;

EID: 84883230314     PISSN: 01920790     EISSN: 15392031     Source Type: Journal    
DOI: 10.1097/MCG.0b013e31829ebda7     Document Type: Review

References (135)

1. Jemal A, Siegel R, Ward E, et al. Cancer Statistics. CA Cancer J Clin. 2009;59: 225-249.
2. Joseph DA, Rim SH, Seeff LC. Use of colorectal cancer tests - United States, 2002, 2004, and 2006. MMWR Morb Mortal Wkly Rep. 2008;57: 253-258.
3. Winawer SJ, Zauber AG, Ho MN, et al. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. N Engl J Med. 1993;329: 1977-1981.
4. Winawer SJ, Zauber AG. Incidence reduction following colonoscopy polypectomy. Am J Gastroenterol. 2011;106: 370.
5. Zauber A, Winawer SJ, O'Brien MJ, et al. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med. 2012;366: 687-696.
6. Chapuis PH, Dent OF, Goulston KJ. Clinical accuracy in the diagnosis of small polyps using the flexible fiberoptic sigmoidoscope. Dis Colon Rectum. 1982;25: 669-672.
7. Neale AV, Demers RY, Budev H, et al. Physician accuracy in diagnosing colorectal polyps. Dis Colon Rectum. 1987;30: 247-250.
8. Pohl J, Schneider A, Vogell H, et al. Pancolonic chromoendoscopy with indigo carmine versus standard colonoscopy for detection of neoplastic lesions: a randomised two-centre trial. Gut. 2011;60: 485-490.
9. Adler A, Aschenbeck J, Yenerim T, et al. Narrow-band versus white-light high definition television endoscopic imaging for screening colonoscopy: a prospective randomized trial. Gastroenterology. 2009;136: 410-416.
10. Aminalai A, Rösch T, Aschenbeck J, et al. Live image processing does not increase adenoma detection rate during colonoscopy: a randomized comparison between FICE and conventional imaging (Berlin Colonoscopy Project 5, BECOP-5). Am J Gastroenterol. 2010;105: 2383-2388.
11. Hoffman A, Sar F, Goetz M, et al. High definition colonoscopy combined with i-Scan is superior in the detection of colorectal neoplasias compared with standard video colonoscopy: a prospective randomized controlled trial. Endoscopy. 2010;42: 827-833.
12. Wada Y, Kashida H, Kudo SE, et al. Diagnostic accuracy of pit pattern and vascular pattern analyses in colorectal lesions. Dig Endosc. 2010;22: 192-199.
13. Xie XJ, Li CQ, Zuo XL, et al. Differentiation of colonic polyps by confocal laser endomicroscopy. Endoscopy. 2011; 43: 87-93.
14. Ferrara F, Luigiano C, Ghersi S, et al. Efficacy, safety and outcomes of "inject and cut" endoscopic mucosal resection for large sessile and flat colorectal polyps. Digestion. 2010;82: 213-220.
15. Waye JD. Polyps large and small. Gastrointest Endosc. 1992; 38: 391-392.
16. Weinberg DS. Large adenoma recurrence after polypectomy. Gastrointest Endosc. 2009;70: 350-352.
17. Bae GH, Jung JT, Kwon JG, et al. Risk factors of delayed bleeding after colonoscopic polypectomy: case-control study. Korean J Gastroenterol. 2012;59: 423-427.
18. Waye JD. A balancing view: should large colon polyps be removed colonoscopically or surgically? Am J Gastroenterol. 2009;104: 275-276.
19. Cipolletta L, Blanco MA, Rotondano G, et al. Endoclipassisted resection of large pedunculated colon polyps. Gastrointest Endosc. 1999;50: 405-406.
20. Kudo S, Lambert R, Allen JI, et al. Non-polypoid neoplastic lesions of the colorectal mucosa. Gastrointest Endosc. 2008; 68: 3-47.
21. Mannath J, Subramanian V, Singh R, et al. Polyp recurrence after endoscopic mucosal resection of sessile and flat colonic adenomas. Dig Dis Sci. 2011;56: 2389-2395.
22. Participants in the Paris workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon. Gastrointest Endosc. 2003;58(suppl 6):S3-43.
23. Bourke M. Current status of colonic endoscopic mucosal resection in the west and the interface with endoscopic submucosal dissection. Dig Endosc. 2009;21(suppl 1): S22-S27.
24. Lambert R, Kudo SE, Vieth M, et al. Pragmatic classification of superficial colorectal neoplastic lesions. Gastrointest Endosc. 2009;70: 1182-1199.
25. Singh N, Harrison M, Rex DK. A survey of colonoscopic polypectomy practices among clinical gastroenterologists. Gastrointest Endosc. 2004;60: 414-418.
26. Rex DK. Preventing colorectal cancer and cancer mortality with colonoscopy: what we know and what we don't know. Endoscopy. 2010;42: 320-323.
27. Morris ML, Tucker RD, Baron TH, et al. Electrosurgery in gastrointestinal endoscopy: principles to practice. Am J Gastroenterol. 2009;104: 1563-1574.
28. Williams CB. Small polyps: the virtues and the dangers of hot biopsy. Gastrointest Endosc. 1991;37: 394-395.
29. Ellis K. Efficacy of hot biopsy forceps. Cold micro-snare and micro-snare with cautery techniques in the removal of diminutive colonic polyps. Gastrointest Endosc. 1997;45: AB107.
30. Peluso F, Goldner F. Follow-up of hot biopsy forceps treatment of diminutive colonic polyps. Gastrointest Endosc. 1991;37: 604-606.
31. Mönkemüller KE, Fry LC, Jones BH, et al. Histological quality of polyps resected using the cold versus hot biopsy technique. Endoscopy. 2004;36: 432-436.
32. Vanagunas A, Jacob P, Vakil N. Adequacy of "hot biopsy" for the treatment of diminutive polyps: a prospective randomized trial. Am J Gastroenterol. 1989;84: 383-385.
33. Savides TJ, See JA, Jensen DM, et al. Randomized controlled study of injury in the canine right colon from simultaneous biopsy and coagulation with different hot biopsy forceps. Gastrointest Endosc. 1995;42: 573-578.
34. Gilbert DA, DiMarino AJ, Jensen DM, et al. Status evaluation: hot biopsy forceps. American Society for Gastrointestinal Endoscopy. Technology Assessment Committee. Gastrointest Endosc. 1992;38: 753-756.
35. Ichise Y, Horiuchi A, Nakayama Y, et al. Prospective randomized comparison of cold snare polypectomy and conventional polypectomy for small colorectal polyps. Digestion. 2011;84: 78-81.
36. Paspatis GA, Tribonias G, Konstantinidis K, et al. A prospective randomized comparison of cold vs. hot snare polypectomy in the occurrence of postpolypectomy bleeding in small colonic polyps. Colorectal Dis. 2011;13:e345-e348.
37. Van Gossum A, Cozzoli A, Adler M, et al. Colonoscopic snare polypectomy: analysis of 1485 resections comparing two types of current. Gastrointest Endosc. 1992;38: 472-475.
38. Tolliver KA, Rex DK. Colonoscopic polypectomy. Gastroenterol Clin North Am.. 2008;37: 229-251, ix.
39. Conio M, Ponchon T, Blanchi S, et al. Endoscopic mucosal resection. Am J Gastroenterol. 2006;101: 653-663.
40. Fujishiro M, Yahagi N, Kashimura K, et al. Comparison of various submucosal injection solutions for maintaining mucosal elevation during endoscopic mucosal resection. Endoscopy. 2004;36: 579-583.
41. Gostout CJ. Ode to the submucosal fluid cushion. Endoscopy. 2004;36: 638-639.
42. Varadarajulu S, Tamhane A, Slaughter RL. Evaluation of dextrose 50% as a medium for injection-assisted polypectomy. Endoscopy. 2006;38: 907-912.
43. Sato T. A novel method of endoscopic mucosal resection assisted by submucosal injection of autologous blood (blood patch EMR). Dis Colon Rectum. 2006;49: 1636-1641.
44. Fujishiro M, Yahagi N, Kashimura K, et al. Different mixtures of sodium hyaluronate and their ability to create submucosal fluid cushions for endoscopic mucosal resection. Endoscopy. 2004;36: 584-589.
45. Uraoka T, Fujii T, Saito Y, et al. Effectiveness of glycerol as a submucosal injection for EMR. Gastrointest Endosc. 2005; 61: 736-740.
46. Moss A, Bourke MJ, Kwan V, et al. Succinylated gelatin substantially increases en bloc resection size in colonic EMR: a randomized, blinded trial in a porcine model. Gastrointest Endosc. 2010;71: 589-595.
47. Arantes V, Albuquerque W, Benfica E, et al. Submucosal injection of 0.4% hydroxypropyl methylcellulose facilitates endoscopic mucosal resection of early gastrointestinal tumors. J Clin Gastroenterol. 2010;44: 615-619.
48. Nelson D. ASGE technology status evaluation report: endoscopic mucosal resection. Gastrointest Endosc. 2000;52: 860-863.
49. Swan MP, Bourke MJ, Alexander S, et al. Large refractory colonic polyps: is it time to change our practice? A prospective study of the clinical and economic impact of a tertiary referral colonic mucosal resection and polypectomy service (with videos). Gastrointest Endosc. 2009;70: 1128-1136.
50. Uno Y, Munakata A. The non-lifting sign of invasive colon cancer. Gastrointest Endosc. 1994;40: 485-489.
51. Puli SR, Kakugawa Y, Gotoda T, et al. Meta-analysis and systematic review of colorectal endoscopic mucosal resection. World J Gastroenterol. 2009;15: 4273-4277.
52. Kanamori T, Itoh M, Yokoyama Y, et al. Injectionincision - assisted snare resection of large sessile colorectal polyps. Gastrointest Endosc. 1996;43: 189-195.
53. Kaltenbach T, Soetikno R. Endoscopic mucosal resection of non-polypoid colorectal neoplasm. Gastrointest Endosc Clin N Am. 2010;20: 503-514.
54. Tanaka S, Haruma K, Oka S, et al. Clinicopathologic features and endoscopic treatment of superficially spreading colorectal neoplasms larger than 20mm. Gastrointest Endosc. 2001; 54: 62-66.
55. Su MY, Hsu CM, Ho YP, et al. Endoscopic mucosal resection for colonic non-polypoid neoplasms. Am J Gastroenterol. 2005;100: 2174-2179.
56. Arebi N, Swain D, Suzuki N, et al. Endoscopic mucosal resection of 161 cases of large sessile or flat colorectal polyps. Scand J Gastroenterol. 2007;42: 859-866.
57. Luigiano C, Consolo P, Scaffidi MG, et al. Endoscopic mucosal resection for large and giant sessile and flat colorectal polyps: a single-center experience with long-term followup. Endoscopy. 2009;41: 829-835.
58. Perez RF, Gonzalez CP, Legaz HML, et al. Endoscopic resection of large colorectal polyps. Rev Esp Enferm Dig. 2004;96: 36-47.
59. Swan MP, Bourke MJ, Alexander S, et al. Large refractory colonic polyps: is it time to change our practice? A prospective study of the clinical and economic impact of a tertiary referral colonic mucosal resection and polypectomy service. Gastrointest Endosc. 2009;70: 1128-1136.
60. Norton ID, Wang L, Levine SA, et al. Efficacy of colonic submucosal saline solution injection for the reduction of iatrogenic thermal injury. Gastrointest Endosc. 2002;56: 95-99.
61. Lee SH, Wang L, Levina SA, et al. Submucosal salineepinephrine injection in colon polypectomy: appropriate indication. Hepatogastroenterology. 2008;55: 1589-1593.
62. Dobrowolski S, Dobosz M, Babicki A, et al. Prophylactic submucosal saline-adrenaline injection in colonoscopic polypectomy: prospective randomized study. Surg Endosc. 2004; 18: 990-993.
63. Lee SH, Chung IK, Kim SJ, et al. Comparison of postpolypectomy bleeding between epinephrine and saline submucosal injection for large colon polyps by conventional polypectomy: a prospective randomized, multicenter study. World J Gastroenterol. 2007;13: 2973-2977.
64. Ohkuwa M, Hosokawa K, Boku N, et al. New endoscopic treatment for intramucosal gastric tumors using an insulatedtip diathermic knife. Endoscopy. 2001;33: 221-226.
65. Miyamoto S, Muto M, Hamamoto Y, et al. A new technique for endoscopic mucosal resection with an insulated-tip electrosurgical knife improves the completeness of resection of intramucosal gastric neoplasms. Gastrointest Endosc. 2002;55: 576-581.
66. Gotoda T. A large endoscopic resection by endoscopic submucosal dissection procedure for early gastric cancer. Clin Gastroenterol Hepatol. 2005;3:S71-S73.
67. Gostout CJ, Knipshield MA. Submucosal endoscopy with mucosal resection: a hybrid endoscopic submucosal dissection in the porcine colon and rectum. Gastrointest Endosc. 2012;76: 829-834.
68. Fujishiro M, Yahagi N, Kakushima N, et al. Outcomes of endoscopic submucosal dissection for colorectal epithelial neoplasms in 200 consecutive cases. Clin Gastroenterol Hepatol. 2007;5: 678-683.
69. Piessevaux H. Endoscopic submucosal dissection for en bloc resection of large colorectal adenomas: experience in a Western population. Gastrointest Endosc. 2008;67:AB149.
70. Saito Y, Uraoka T, Yamaguchi Y, et al. A prospective, multicenter study of 1111 colorectal endoscopic submucosal dissections (with video). Gastrointest Endosc. 2010;72: 1217-1225.
71. Waye JD. It ain't over 'til it's over: retrieval of polyps after colonoscopic polypectomy. Gastrointest Endosc. 2005;62: 257-259.
72. Rex DK, Bond JH, Winawer S, et al. Quality in the technical performance of colonoscopy and the continuous quality improvement process for colonoscopy: recommendations of the US Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol. 2002;97: 1296-1308.
73. Miller K, Waye JD. Polyp retrieval after colonoscopic polypectomy: use of the Roth Retrieval Net. Gastrointest Endosc. 2001;54: 505-507.
74. Heldwein W, Dollhopf M, Rosch T, et al. The Munich Polypectomy Study (MUPS): prospective analysis of complications and risk factors in 4000 colonic snare polypectomies. Endoscopy. 2005;37: 1116-1122.
75. Hogan RB, Hogan RB III. Epinephrine volume reduction of giant colon polyps facilitates endoscopic assessment and removal. Gastrointest Endosc. 2007;66: 1018-1022.
76. Conio M, Repici A, Demarquay JF, et al. EMR of large sessile colorectal polyps. Gastrointest Endosc. 2004;60: 234-241.
77. Ahlawat SK, Gupta N, Benjamin SB, et al. Large colorectal polyps: endoscopic management and rate of malignancy: does size matter? J Clin Gastroenterol. 2010;45: 347-354.
78. Zlatanic J, Waye JD, Kim PS, et al. Large sessile colonic adenomas adenomas: use of argon plasma coagulator to supplement piecemeal snare polypectomy. Gastrointest Endosc. 1999;49: 731-735.
79. Regula J, Wronska E, Polkowski M, et al. Argon plasma coagulation after piecemeal polypectomy of sessile colorectal adenomas: long-term follow-up study. Endoscopy. 2003;35: 212-218.
80. Brooker JC, Saunders BP, Shah SG, et al. Treatment with argon plasma coagulation reduces recurrence after piecemeal resection of large sessile colonic polyps: a randomized trial and recommendations. Gastrointest Endosc. 2002;55: 371-375.
81. Winawer SJ, Zauber AG, Fletcher RH, et al. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. CA Cancer J Clin. 2006;56: 143-159.
82. Mönkemüller K, Neumann H, Malfertheiner P, et al. Advanced colon polypectomy. Clin Gastroenterol Hepatol. 2009;7: 641-652.
83. Haber HP, Stern M. Intestinal ultrasonography in children and young adults: bowel wall thickness is age-dependent. J Ultrasound Med. 2000;19: 315-321.
84. Rex DK, Khashab M. Colonoscopic polypectomy in retroflexion. Gastrointest Endosc. 2005;62: 144-148.
85. Misra SP, Dwivedi M. Colonoscopy and colonoscopic polypectomy using side-viewing endoscope: a useful, effective and safe procedure. Dig Dis Sci. 2008;53: 1285-1288.
86. Frimberger E, von Delius S, Rosch T, et al. Colonoscopy and polypectomy with a side-viewing endoscope. Endoscopy. 2007;39: 462-465.
87. Park SY, Kim HS, Yoon KW, et al. Usefulness of capassisted colonoscopy during colonoscopic EMR: a randomized, controlled trial. Gastrointest Endosc. 2011;74: 869-875.
88. Dafnis G. A novel technique for endoscopic snare polypectomy using a duodenoscope in combination with a colonoscope for the inaccessible colonic polyp. Endoscopy. 2006;38: 279-281.
89. Fry LC, Loudon R, Linder JD, et al. Endoscopic removal of a snare entrapped around a polyp by using a dual endoscope technique and needle-knife. Gastrointest Endosc. 2003;57: 126-128.
90. Ng AJ, Korsten MA. The difficult polypectomy: description of a new dual-endoscope technique. Gastrointest Endosc. 2002;55: 430-432.
91. Valentine JF. Double-channel endoscopic polypectomy technique for the removal of large pedunculated polyps. Gastrointest Endosc. 1998;48: 314-316.
92. Hyman N, Waye JD. Endoscopic four quadrant tattoo for the identification of colonic lesions at surgery. Gastrointest Endosc. 1991;37: 56-58.
93. Shatz BA, Thavorides V. Colonic tattoo for follow-up of endoscopic sessile polypectomy. Gastrointest Endosc. 1991;37: 59-60.
94. Salomon P, Berner JS, Waye JD. Endoscopic India ink injection: a method for preparation, sterilization, and administration. Gastrointest Endosc. 1993;39: 803-805.
95. Kethu SR, Banerjee S, Desilets D, et al. Endoscopic tattooing. Gastrointest Endosc. 2010;72: 681-685.
96. Park JW, Sohn DK, Hong CW, et al. The usefulness of preoperative colonoscopic tattooing using a saline test injection method with pre-packaged sterile India ink for localization in laparoscopic colorectal surgery. Surg Endosc. 2008;22: 501-505.
97. Gopal DV, Morava-Protzner I, Miller HA, et al. Idiopathic inflammatory bowel disease associated with colonic tattooing with India ink preparation - case report and review of literature. Gastrointest Endosc. 1999;49: 636-639.
98. Park SI, Genta RS, Romeo DP, et al. Colonic abscess and focal peritonitis secondary to India ink tattooing of the colon. Gastrointest Endosc. 1991;37: 68-71.
99. Coman E, Brandt LJ, Brenner S, et al. Fat necrosis and inflammatory pseudotumor due to endoscopic tattooing of the colon with India ink. Gastrointest Endosc. 1991;37: 65-68.
100. Alba LM, Pandya PK, Clarkston WK. Rectus muscle abscess associated with endoscopic tattooing of the colon with India ink. Gastrointest Endosc. 2000;52: 557-558.
101. Raju GS. What is new in tattooing? Custom tattooing. Gastrointest Endosc. 2004;59: 328-329.
102. Fu KI, Fujii T, Kato S, et al. A new endoscopic tattooing technique for identifying the location of colonic lesions during laparoscopic surgery: a comparison with the conventional technique. Endoscopy. 2001;33: 687-691.
103. Dobrowolski S, Dobosz M, Babicki A, et al. Blood supply of colorectal polyps correlates with risk of bleeding after colonoscopic polypectomy. Gastrointest Endosc. 2006;63: 1004-1009.
104. Watabe H, Yamaji Y, Okamoto M, et al. Risk assessment for delayed hemorrhagic complication of colonic polypectomy: polyp-related factors and patient-related factors. Gastrointest Endosc. 2006;64: 73-78.
105. Buddingh KT, Herngreen T, Haringsma J, et al. Location in the right hemi-colon is an independent risk factor for delayed post-polypectomy hemorrhage: a multi-center case-control study. Am J Gastroenterol. 2011;106: 1119-1124.
106. Lorenzo-Zúñ iga V, Moreno de Vega V, Domenech E, et al. Endoscopist experience as a risk factor for colonoscopic complications. Colorectal Dis. 2009;12(10 Online):e273-e277.
107. Zuckerman MJ, Hirota WK, Adler DG, et al. ASGE guideline: the management of low-molecular-weight heparin and nonaspirin antiplatelet agents for endoscopic procedures. Gastrointest Endosc. 2005;61: 189-194.
108. Kwok A, Faigel DO. Management of anticoagulation before and after gastrointestinal endoscopy. Am J Gastroenterol. 2009;104: 3085-3097.
109. ASGE Technology Committee. Endoscopic hemostatic devices. Gastrointest Endosc. 2009;69: 987-996.
110. Raju GS, Gajula L. Endoclips for GI endoscopy. Gastrointest Endosc. 2004;59: 267-279.
111. Sobrino-Faya M, Martinez S, Gomez Balado M, et al. Clips for the prevention and treatment of postpolypectomy bleeding (hemoclips in polypectomy). Rev Esp Enferm Dig. 2002;94: 457-462.
112. Binmoeller KF, Thonke F, Soehendra N. Endoscopic hemoclip treatment for gastrointestinal bleeding. Endoscopy. 1993;25: 167-170.
113. Parra-Blanco A, Kaminaga N, Kojima T, et al. Hemoclipping for postpolypectomy and postbiopsy colonic bleeding. Gastrointest Endosc. 2000;51: 37-41.
114. Friedland S, Sedehi D, Soetikno R. World J Gastroenterol. 2009;15: 1973-1976.
115. Rex DK, Lewis BS, Waye JD, et al. Colonoscopy and endoscopic therapy for delayed post-polypectomy hemorrhage. Gastrointest Endosc. 1992;38: 127-129.
116. Webb WA, McDaniel L, Jones L, et al. Experience with 1000 colonoscopic polypectomies. Ann Surg. 1985;201: 626-632.
117. Macrae F, Tan KG, Williams CB. Towards safer colonoscopy: report on the complications of 5000 diagnostic or therapeutic colonoscopies. Gut. 1983;24: 376-383.
118. Pochapin MB. Understanding the risks of colonoscopy: looking forward. Gastrointest Endosc. 2009;69: 672-674.
119. Arora G, Mannalithara A, Singh G, et al. Risk of perforation from a colonoscopy in adults: a large population-based study. Gastrointest Endosc. 2009;69: 654-664.
120. Panteris V, Haringsma J, Kuipers KJ. Colonoscopy perforation rate, mechanisms and outcome: from diagnostic to therapeutic colonoscopy. Endoscopy. 2009;41: 941-951.
121. Swan MP, Bourke MJ, Moss A, et al. The target sign: an endoscopic marker for the resection of the muscularis propria and potential perforation during colonic endoscopic mucosal resection. Gastrointest Endosc. 2011;73: 79-85.
122. Tanaka S, Oka S, Kaneko I, et al. Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardization. Gastrointest Endosc. 2007;66: 100-107.
123. Yamamoto H, Yahagi N, Oyama T. Mucosectomy in the colon with endoscopic submucosal dissection. Endoscopy. 2005;37: 764-768.
124. Wang WL, Wu ZH, Sun Q, et al. Meta-analysis: the use of carbon dioxide insufflation vs. room air insufflation for gastrointestinal endoscopy. Aliment Pharmacol Ther. 2012; 35: 1145-1154.
125. Chen PJ, Li CH, Huang TY, et al. Carbon dioxide insufflation does not reduce pain scores during colonoscope insertion in unsedated patients: a randomized, controlled trial. Gastrointest Endosc. 2013;77: 79-89.
126. Bassan MS, Holt B, Moss A, et al. Carbon dioxide insufflation reduces number of postprocedure admissions after endoscopic resection of large colonic lesions: a prospective cohort study. Gastrointest Endosc. 2013;77: 90-95.
127. Young-Fadok TM. Pro: a large colonic polyp is best removed by laparoscopy. Am J Gastroenterol. 2009;104: 270-272.
128. Church JM. Laparoscopic vs. colonoscopic removal of a large polyp [see comment]. Am J Gastroenterol. 2009;104: 2633-2634.
129. Bonjer HJ, Hop WC, Nelson H, et al. Laparoscopically assisted vs. open colectomy for colon cancer: a meta-analysis. Arch Surg. 2007;142: 298-303.
130. Marks JH, Kawun UB, Hamdan W, et al. Redefining contraindications to laparoscopic colorectal resection for high-risk patients. Surg Endosc. 2008;22: 1899-1904.
131. Voloyiannis T, Snyder MJ, Bailey RR, et al. Management of the difficult colon polyp referred for resection: resect or rescope? Dis Colon Rectum. 2008;51: 292-295.
132. Feussner H, Wilhelm D, Dotzel V, et al. Combined endoluminal and endocavitary approaches to colonic lesions. Surg Technol Int. 2003;11: 97-101.
133. Franklin ME, Portillo G. Laparoscopic monitored colonoscopic polypectomy: long-term follow-up. World J Surg. 2009;33: 1306-1309.
134. Winter H, Lang RA, Spelsberg FW, et al. Laparoscopic colonoscopic rendezvous procedures for the treatment of polyps and early stage carcinomas of the colon. Int J Colorectal Dis. 2007;22: 1377-1381.
135. Delaney CP, Champagne BJ, Marks JM, et al. Tissue apposition system: new technology to minimize surgery for endoscopically unresectable colonic polyps. Surg Endosc. 2010;24: 3113-3118.