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Polyp removal during colonoscopy

polypectomy · colon polyp removal · polyp removal · endoscopic polypectomy

A polyp is a small growth on the bowel wall. During a colonoscopy, the doctor removes it with a wire loop or tiny forceps through the same tube.

If a polyp is found during a colonoscopy. Some polyps can turn into cancer over time, so they are removed early.

⏱ Duration: usually adds 5 to 20 minutes to the colonoscopy; polyp test results usually come in 1 to 2 weeks

Be sure to tell your doctor

How to prepare

  • Same as for a colonoscopy. A low-fiber diet for 2 to 3 days and bowel prep solution as your doctor says.
  • Medicines. Do not stop them on your own. Tell your doctor about all your medicines. They will decide what to change and when.
  • Sedation. If you will be asleep, you need someone to take you home.

What to bring

  • Your referral
  • Past colonoscopy reports
  • A list of your medicines
  • Someone to take you home, if you have sedation

How it goes

  1. The colonoscopy goes as usual
  2. The doctor finds the polyp and examines it
  3. A thin wire loop or forceps is passed through the tube
  4. The polyp is cut from the wall, and sometimes the spot is sealed with heat
  5. Sometimes a tiny clip is placed on the spot
  6. The polyp is taken out and sent for testing

What you'll feel

  • You usually do not feel the removal. The bowel wall has no pain nerves
  • Bloating from the air, as after any colonoscopy

Afterwards

  • Usually light food and no alcohol for 1 to 2 days. Ask your doctor
  • For a few days, no heavy lifting or intense sports, if your doctor says so
  • A little blood in your stool in the first days can happen
  • The clip comes out by itself. You do not need to look for it
  • Your doctor will set your next colonoscopy based on the test result

Contact a doctor straight away if

  • Heavy bleeding from the bottom or clots: call emergency services
  • Severe belly pain that keeps getting worse: call emergency services
  • A fever over 38°C (100.4°F), weakness, or dizziness: see a doctor right away

Common questions

Is a polyp cancer?

Most often not. The test will show what it was. Removal is done to stop the polyp from changing.

Can a polyp grow back?

New polyps can appear. That is why your doctor sets a follow-up colonoscopy after a certain time.