Intestinal polyps generally refer to protuberant lesions protruding from the surface of rectal mucosa to the intestinal cavity, including adenomas (including villous adenomas), childhood polyps, inflammatory polyps and polyposis. Pathologically, its contents are different, some are benign tumors, and some are the consequences of inflammatory proliferation.

Do you have to have an operation when you find intestinal polyps?

As mentioned earlier, most intestinal polyps are a new organism of intestinal mucosa. Before pathological examination is the "gold standard", all diagnosis is just speculation. If it is not removed, it will be a "time bomb" after all. If it is malignant, the harm goes without saying; If it is a precancerous lesion such as adenoma, it is equivalent to a "time bomb". With the increase of polyps and the increase of their number, the chance of canceration increases rapidly, and nearly half of adenomas with a diameter of more than 2cm will turn into cancer. Even inflammatory polyp is less harmful to the body, but with the increase of polyps, it may bring a series of clinical symptoms, such as long-term bloody stool, diarrhea, intussusception and even intestinal obstruction. Therefore, intestinal polyps should be removed if they are found.

Do you have to operate to remove polyps?

With the development of medical technology, now, most colon polyps are removed without surgery. In recent decades, with the advent of fiber endoscope, especially electronic endoscope, endoscopic technology has developed rapidly, especially endoscopic treatment technology. Endoscopic polypectomy has become a mature treatment method. Its indications are ——————

(1) Pedicled polyps and adenomas of various sizes;

(2) sessile polyp and adenoma with diameter less than 2cm;

(3) Multiple adenomas and polyps are scattered and few in number.

It can be said that endoscopic resection of intestinal polyps has become a routine method for the treatment of intestinal polyps. Except for a few cases whose diameters are too large, the morphology under endoscope is obviously malignant or the number is too large, intestinal polyps can generally be completely removed under endoscope. Compared with surgery, endoscopic polypectomy has obvious advantages.

Bernard once reported that after laparotomy, it takes an average of 28 days for patients to return to normal life, while it takes an average of 2 days to return to normal life after endoscopic polypectomy, and the cost is only 1/3. Endoscopic polypectomy is less harmful and painful to the body, and is suitable for the elderly, the weak or infants, so this method has been widely used.