Disruption in colonic polypectomy: rocking the trend

Endoscopic resection is well established as first-line management of benign colorectal polyps. Even though a “complete cut” and a “safe cut” are cornerstones of colonoscopic resection, the risk of incomplete resection of large flat polyps is as high as 31 % [1]. Unless we assure high rates of complete (R0) endoscopic resection, patients may continue to be referred to surgery for fear of recurrence and cancer development [2].