Polypectomy is the removal of polyps, small growths on the lining of the bowel or stomach, through an endoscope during colonoscopy or gastroscopy. No cuts are made in the skin. Most polyps found in the colon are taken out in the same sitting as they are discovered.
Removing adenomas and serrated polyps interrupts the slow path from polyp to bowel cancer, which is why screening colonoscopy lowers cancer rates. It does not stop new polyps forming, so repeat colonoscopy at a set interval is part of the treatment.
What Endoscopic Polyp Removal (Polypectomy) involves
After bowel preparation and sedation, the endoscopist advances the colonoscope to the start of the colon and inspects the lining carefully on withdrawal. Tiny polyps are removed with a cold snare, a wire loop that cuts without electricity. Larger stalked polyps are snared with current, sometimes after a clip or loop is placed on the stalk. Flat polyps over about 2 cm are lifted on a cushion of injected fluid and removed by endoscopic mucosal resection in one or several pieces. Every specimen is retrieved for pathology. Clips may be placed to close the site.
Who is a good candidate for Endoscopic Polyp Removal (Polypectomy)?
Almost all colon polyps should come out, because appearance alone cannot fully exclude early cancer.
- Polyps found at screening or diagnostic colonoscopy
- A positive stool blood test with polyps on colonoscopy
- Large flat polyps referred for specialist resection instead of bowel surgery
- Surveillance in people with previous polyps or a strong family history
It is usually not the right choice if:
- Polyps with features of deep invasive cancer, which need surgery and staging
- People on anticoagulants that have not been paused or bridged according to a plan
- Poor bowel preparation; the examination should be repeated
- Severe active colitis or an unstable heart or lung condition
الخيارات التقنية
- Cold snare: For polyps under 10 mm. Very low bleeding and perforation risk.
- Hot snare: For stalked or larger polyps, using electrocautery.
- Endoscopic mucosal resection (EMR): For flat polyps of 2 cm and above, after a fluid lift.
- Endoscopic submucosal dissection (ESD): Removes a large lesion in one piece when early cancer is suspected. Longer and technically demanding.
ماذا يحدث خلال علاجك
A colonoscopy with simple polypectomy takes 20 to 45 minutes; EMR of a large polyp can take 1 to 2 hours. Sedation or a short propofol anaesthetic is usual and most people remember little. You may feel bloated from the gas afterwards. Removal itself is not felt because the bowel lining has no pain nerves.
الإعداد لرحلتك
One session is normally enough. Allow 3 to 4 days: consultation and preparation the day before, the procedure, and a day of rest. After removal of a large polyp, stay 5 to 7 days in the city because delayed bleeding can occur up to two weeks later and you should not be on a long flight in the first days. Pathology takes about 3 to 7 working days and can be sent to you.
- Tell the doctor about medication, allergies, pregnancy or breastfeeding, and any history of cold sores, keloid scars or autoimmune disease
- Avoid alcohol, aspirin and anti-inflammatory painkillers for a few days beforehand if your own doctor agrees, to reduce bruising
- Arrive without make-up on the treatment area and avoid sunbeds and strong sun for two weeks before
التعافي والنتائج
You rest for an hour or two and go home with an escort. Do not drive or sign documents for 24 hours after sedation. Eat lightly that day. After larger resections avoid heavy lifting, alcohol and anti-inflammatory painkillers for about a week, and follow the written plan for restarting blood thinners.
- Back to everyday activity: 1 day
- When results show: Pathology in 3 to 7 working days
- How long they last: Surveillance colonoscopy at 1 to 10 years depending on findings
سياسة السلامة والمخاطر والتنقيح
Risk scales with polyp size and location. Small cold snare removals are very safe.
- Bleeding, immediate or delayed up to 14 days, more likely with large polyps and blood thinners
- Perforation of the bowel wall, rare, sometimes closed with clips and sometimes needing surgery
- Post-polypectomy syndrome: pain and fever from a deep burn without a hole
- Incomplete removal with regrowth at the site
- Sedation-related breathing or blood pressure problems
- Missed polyps elsewhere in the bowel
Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.
Cost of Endoscopic Polyp Removal (Polypectomy) in Türkiye
Clinic-Y does not publish a single price for Endoscopic Polyp Removal (Polypectomy), because the honest figure depends on your case. What moves it:
- Number and size of polyps and the technique required
- Clips, injection agents and other single-use devices
- Number of pathology specimens
- Sedation or anaesthetist-led anaesthesia
- Whether a stay for observation is needed
Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.
الأسئلة المتكررة
Does a polyp mean I have cancer?
No. Most are benign. A minority contain early cancer cells, and pathology tells you which.
When is my next colonoscopy?
It depends on number, size and type. One or two small adenomas may mean no early repeat; large or numerous polyps mean 3 years or sooner; piecemeal EMR is rechecked at about 6 months.
Should I stop aspirin?
Low-dose aspirin is usually continued. Other blood thinners need an individual plan agreed with the prescriber.