Treatment for Colon Polyp
Any circumscribed mass of tissue that arises from mucosa and protrudes into the lumen of the gastrointestinal tract is called as polyp. This is a purely clinical term and this term does not signify anything histopathologically.
Types of Colon Polyps
Inflammatory polyps
- Benign lymphoid polyps
- Pseudo-polyps (ulcerative colitis)
Hamartomas Polyps
- Juvenile polyp
- Peutz-Jegher’s polyp
Hyperplastic Polyps.
Neoplastic Polps
- Tubular adenoma
- Villous adenoma
Familial polyposis coli.
Treatment for Inflammatory Polyps
Only excisional biopsy can diagnose this condition with certainty and is the treatment of choice.
Inflammatory polyposis is associated with ulcerative colitis or Crohn’s disease and hence that has to be treated.
Treatment for Hamartomas Polyps
Juvenile polyps
As this neoplasm is without the malignant potentially, treatment is excision biopsy.
Treatment for Hyperplastic Polyps
If detected accidentally, excision is indicated only for histological diagnosis.
Neoplastic polyps
- Tubular adenoma
- Villous adenoma
Treatment for Neoplastic Polyps
Colonoscopic removal is done of the small adenoma (tubular and villous) by cautery.
It is always advisable to do follow-up proctoscopy at regular intervals, as recurrence is common even though the lesion is histologically benign.
Familial polyposis coli
Total abdominal colectomy, abdomino-perineal resection of rectum and anus and terminal ileostomy should be the treatment of choice. This is the only way to get rid of all polyps and discard any chance of malignant transformation.
To avoid ileostomy some surgeons would prefer to do a subtotal colectomy with ileorectal anastomosis.