Endoscopic polypectomy

Endoscopic polypectomy is a therapeutic procedure performed during a digestive endoscopy (colonoscopy or gastroscopy) that involves removing polyps from the lining of the digestive tract. Polyps are abnormal growths of the mucosa that may be benign or carry a risk of malignant transformation. Their removal is a fundamental step in the prevention of colorectal cancer. Several polypectomy techniques exist depending on the size, shape and location of the polyp: biopsy forceps for very small polyps, cold snare for sessile polyps smaller than 10 mm, and diathermy snare with electric current for pedunculated or larger polyps. The choice of technique is made by the gastroenterologist in real time according to the characteristics of the polyp. After removal, the polyp is systematically retrieved and sent for histological analysis to the pathology laboratory. This analysis determines the histological type of the polyp (adenoma, hyperplastic polyp, serrated polyp) and, above all, verifies the absence of cancerous cells. The result of this analysis determines the subsequent surveillance and the timing of the next colonoscopy. At Clinique Pasteur in Tunis, polypectomies are performed by gastroenterologists proficient in the full range of endoscopic techniques. The technical facility is equipped with latest-generation electrosurgical generators and hemostasis devices for optimal and safe management.