Large non-pedunculated colorectal polyp management: The elephant in the room

doi:10.3748/wjg.v30.i25.3126

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Jul 7, 2024 (publication date) through Jul 10, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jul 7, 2024; 30(25): 3126-3131
Published online Jul 7, 2024. doi: 10.3748/wjg.v30.i25.3126

Large non-pedunculated colorectal polyp management: The elephant in the room

Shirley X Jiang, Neal Shahidi

Shirley X Jiang, Neal Shahidi, Department of Medicine, University of British Columbia, Vancouver V6Z 2K5, BC, Canada

Author contributions: Jiang SX contributed to drafting of the article; Shahidi N contributed to critical revision of the article for important intellectual content and final approval of the article.

Conflict-of-interest statement: Neal Shahidi received a speaker's honorarium from Pharmacology, Boston Scientific. Shirley X Jiang did not report a conflict of interest.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: Https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Neal Shahidi, FRCPC, MD, PhD, Assistant Professor, Department of Medicine, University of British Columbia, 770-1190 Hornby Street, Vancouver V6Z 2K5, BC, Canada. nealshahidi@gmail.com

Received: March 3, 2024
Revised: May 19, 2024
Accepted: June 11, 2024
Published online: July 7, 2024
Processing time: 119 Days and 12.2 Hours

Core Tip

Core Tip: There is a movement towards minimally invasive management of colorectal disease, including the use of less invasive surgical techniques for colorectal cancer. Similarly, a paradigm shift in endoscopic resection has led to the development of a gamut of techniques, which are now first-line management strategies for most large (≥ 20 mm) non-pedunculated colorectal polyps (LNPCPs) - the majority of which are benign. This is due to their proven efficacy, safety and cost-effectiveness compared to surgery. With increasing detection of LNPCPs in universal screening programs, further adoption of an endoscopic approach in the era of minimally invasive resection techniques is anticipated.