In Israel, at the Top Ichilov Medical Center, patients diagnosed with 'intestinal polyposis' are assigned the most modern, high-precision, and minimally invasive methods for diagnosing and treating this condition, such as:
- Colonoscopy (video colonoscopy).
- Endoscopic polypectomy:
- Electroexcision
- Electrocoagulation
- Laser coagulation
Endoscopic polyp removal is currently considered the best method for treating polyposis, due to the high effectiveness of this procedure combined with minimal interference with the integrity of the organ.
Are there contraindications for endoscopic removal of colon polyps?
Intestinal polyps are alterations in the mucous membrane of the colon, characterized by pathological growth of the epithelium and its subsequent metamorphoses up to malignancy. Polyps in the intestine can vary in size and shape, attaching to the mucous membrane via:
- Narrow stalk;
- Wide base;
- 'False' stalk.
Relative contraindications for performing endoscopic polypectomy include polyps on a wide base and on a 'false' stalk. This is related to the technique of performing the endoscopic procedure, which we will describe shortly. However, it should be noted again that this contraindication is relative, as in Israel, not only traditional endoscopic techniques (electroexcision) are used for polyp removal, but also modern methods (electrocoagulation, laser photocoagulation), which effectively remove any forms of polyps. In any case, the doctors at the Top Ichilov clinic make the decision on the choice of treatment method for the patient with polyposis only after a thorough examination.
Preparation for Endoscopic Polypectomy
Before undergoing endoscopic polypectomy, the patient undergoes all necessary tests (blood clotting test), stops taking certain medications (aspirin, anticoagulants) as directed by the doctor, and follows a special diet (for several days, only liquid intake is recommended, but not solid food). The patient may also be prescribed laxatives and regular bowel cleansing. Endoscopic polyp removal is performed on an empty stomach.
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How is Endoscopic Polypectomy Performed?
At Top Ichilov, colonoscopy with simultaneous polyp removal is performed under general anesthesia or after inducing the patient into a state of deep sedation (medicated sleep). The doctor inserts an endoscope into the patient's anal opening, using it to determine the location of the polyps. Then, a diathermic loop, biopsy forceps, or laser fiber (depending on the chosen removal technique) is introduced into the endoscope's working channel, and the polyp is excised with simultaneous cauterization of its attachment site. Thanks to their extensive experience, the doctors at Top Ichilov perform the endoscopic polypectomy quickly and effectively.
After the procedure, the doctors always send samples of the excised polyp tissues to the laboratory for histopathological examination to identify any possible malignancy process.
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