Therefore, in general, it is recommended that intestinal polyps be surgically removed as soon as possible after discovery. However, surgical treatment of intestinal polyps is not recommended in the following two cases.
1. Inability to tolerate surgery
If the patient with intestinal polyps has poor health in old age, serious respiratory and cardiovascular diseases, systemic infections, etc., which makes the patient unable to tolerate the surgery, it is not recommended to undergo surgery.
2. Too many polyps, too big, easy to bleed
Familial intestinal polyposis patients can be young to start, most often found when the polyps have covered the intestinal tract, and local clusters of clusters, the base of the depth of the endoscopic cut can not be clean, but also easy to cause bleeding and intestinal infection. Surgical removal of polyps is not recommended at this time, and total colectomy may be considered after full evaluation of the condition.
When can't I have surgery for intestinal polyps?
It is safe to say that once a polyp is detected, surgery is recommended for the majority of cases, although the type of surgery may vary. The exact type of surgery will depend on the location of the polyp, the number of polyps, and the results of the pathologic examination, whether it is a colonoscopic removal or an open surgical resection.
Endoscopic resection of intestinal polyps has become a routine method of treatment for intestinal polyps. Except for a very small number of polyps that are too large in diameter, endoscopically malignant, or too numerous, intestinal polyps can generally be removed endoscopically in their entirety.
Surgery should be chosen carefully in the following cases:
1. The diagnosis of malignant intestinal polyps, that is, intestinal cancer, and has developed to the middle and late stages of the disease, with spread and metastasis, in which case the intestinal polyps have already lost the chance of surgery, and the surgery is of little significance.
2. For polyps with large size and multiple polyps, they can only be removed by open surgery. However, the patient's poor physical condition, old age, and many underlying diseases cannot tolerate this type of surgery, which is a situation that needs to be carefully considered.
Clinically, for patients with benign lesions, especially those with milder conditions, minimally invasive surgical treatment under enteroscopy is an option, and for patients with malignant lesions with more serious conditions, surgical resection is needed as soon as possible.