Research on the best technique for removing the rectal polyp

Researchers will compare two methods of removing a polyp from the entire rectum.

Researchers The Leiden University Medical Center (LUMC) will discover what is the best technique for removing large suspected polyps from the rectum. They receive over € 500,000 in funding from the ZonMw Efficiency Program.

The researchers will compare two methods to eliminate a polyp in the rectum as a whole. The polyp should be removed for examination under the microscope, whether or not it is a cancer of the rectum.

"We know that the techniques we are comparing are better than the rapid removal of the polyp into small pieces.This increases the chance of an additional operation via the abdomen to remove the entire rectum Such an operation is more radical and dangerous in the rectum than elsewhere in the intestine, with the possibility of a permanent stoma and sexual problems such as impotence, "says the chief. and Professor of Gastroenterology, Liver Diseases James Hardwick. But which of the two alternative methods to remove the polyp in one piece is the best, has never been studied.

Rose Against Narcosis
One method is endoscopic submucosal dissection (ESD), in which the gastrointestinal liver physician uses a flexible tube to remove a suspected polyp in one piece. During the intervention in the endoscopy center, the patient takes a whiff. The second method is called minimally invasive transanal surgical technique (TAMIS), in which a surgeon removes the suspected polyp in the operating room entirely through the anus. During this procedure, the patient undergoes complete anesthesia.

In their comparison, researchers examine the number of successful polyp deletions, the number of patients returning the polyp / cancer after six months, complications, patient perception, and costs

Less
"We expect the hose method to reduce the return of the polyp, cause fewer complications and be less expensive than the operation," says Hardwick. . Researchers expect first results in four years.