Scarred and complex colorectal polyps: Traditional techniques and emerging alternatives

doi:10.5662/wjm.v15.i4.105305

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World Journal of Methodology

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2222-0682

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

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World J Methodol. Dec 20, 2025; 15(4): 105305
Published online Dec 20, 2025. doi: 10.5662/wjm.v15.i4.105305

Scarred and complex colorectal polyps: Traditional techniques and emerging alternatives

Ahmed Tawheed, Mohamed Mahmoud Hafez, Alaa Ismail, Ahmad Madkour

Ahmed Tawheed, Ahmad Madkour, Endoscopy Unit, Department of Endemic Medicine, Helwan University, Cairo 11795, Egypt

Mohamed Mahmoud Hafez, Alaa Ismail, Faculty of Medicine, Helwan University, Cairo 11795, Egypt

Author contributions: Hafez MM writing - original draft; Madkour A contributed to supervision; Tawheed A and Ismail A contributed to writing - review and editing.

Conflict-of-interest statement: All authors declare that they have no competing interests.

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: Ahmed Tawheed, Endoscopy Unit, Department of Endemic Medicine, Helwan University, Ain Helwan, Cairo 11795, Egypt. ahmed.tawhid@med.helwan.edu.eg

Received: January 18, 2025
Revised: April 7, 2025
Accepted: April 24, 2025
Published online: December 20, 2025
Processing time: 199 Days and 4.4 Hours

Core Tip

Core Tip: Scarred and complex colorectal polyps remains a big concern because of fibrosis, technical complexity, and excessive recurrence rates. Traditional endoscopic techniques, which includes endoscopic mucosal resection, can be useless in these instances. Emerging alternatives, inclusive of endoscopic submucosal dissection, endoscopic full-thickness resection, and endoscopic powered resection, offer promising solutions for en-bloc resection and lowering recurrence rates. A multidisciplinary technique, integrating high imaging, and different resection techniques, is vital for optimizing affected person results and minimizing complications.·