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Review
. 2025;18(1):39-52.
doi: 10.22037/ghfbb.v18i1.3085.

Algorithmic approach for endoscopic management of colorectal polyps: an up-to-date review

Amir Sadeghi  1 , Ali Yousefian Astaneh  2 , Erfan Arabpour  1 , Mohammad Reza Zali  1
Affiliations
Review

Algorithmic approach for endoscopic management of colorectal polyps: an up-to-date review

Amir Sadeghi et al. Gastroenterol Hepatol Bed Bench. 2025.

Abstract

With the growing incidence of colorectal cancer worldwide, mainly due to increased early detection in screening programs, usage of endoscopic techniques for management of colorectal lesions have been gaining progressive attention. Each year, more advanced endoscopic techniques come to practice and old ones find technical enhancements. By reviewing guidelines, randomized controlled trials, meta-analyses, and original research, we aim to establish an evidence-based approach for selecting the optimal endoscopic method based on the polyp size, morphology, and classification. We critically analyze the advantages, limitations, and potential complications associated with each technique, providing a comprehensive overview for clinicians and suggest areas which may yet need further studies to be conducted. Our comprehensive review can provide a framework that will help clinicians choose an approach most suitable for their patients. This review attempts to contribute to the optimization of endoscopic management in colorectal polyps, with eventual improvement in patient outcomes.

Keywords: Colorectal polyps; EMR; ESD; Endoscopic therapy; Management; Polypectomy.

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Conflict of interest statement

There is no conflict of interest for authors of this article.

Figures

Figure 1
Figure 1
The algorithm suggested for endoscopic management of colorectal polyps.
See this image and copyright information in PMC

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