How to remove tubular adenomas from the colon

Colonic adenomas refer to elevated lesions on the mucosal surface of the colon protruding into the intestinal lumen, including adenomas (among them, choriocapillaris adenomas), other types of polyps in children, inflammatory polyps and polyposis. Colonic tubular adenomas are usually removed using surgery, which includes direct biopsy forceps removal under endoscopic conditions, laparoscopic resection, and argon ion coagulation. Different sizes of adenomas lead to different surgical methods. 1. Biopsy forceps direct resection: it is divided into cold biopsy forceps polypectomy and hot biopsy forceps polypectomy, which is generally used for polyps below 5mm, and has the advantages of simplicity and low cost, but the disadvantage is that it is difficult to remove the polyp completely, which will increase the recurrence rate of the polyp and the incidence rate of colorectal cancer. 2. Loopers resection: suitable for tiny polyps and small polyp resection, when the residual part of the larger can be electrocuted again, the resection specimen sent to the pathology. 3.. Argon ion coagulation: it is through the ionization of argon ionomer, the lesion tissue to play a coagulation effect, applicable to flat, broad-based polyps, especially not easy to carry out the trap treatment of polyps, the advantage is not easy to perforate, the disadvantage is that it can cause intestinal dilatation, easy to perforate the position of the thin intestinal wall, bleeding, and can’t get a complete specimen of the tissue. 4. Endoscopic mucosal resection: commonly used for removing non-tipped polyps, with the features of small trauma, few complications and high safety, it is applied in the treatment of early colorectal cancer, especially the polyps whose cancer cells are confined to the mucous membrane layer and cannot be removed by laparoscopic resection. When colonic tubular adenoma is found, one should seek medical treatment in time and choose the appropriate surgical treatment.