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Endoscopic Removal of Colorectal Lesions

American College of GastroenterologyAmerican Gastroenterological AssociationAmerican Society for Gastrointestinal Endoscopy
Published: February 2020
Print Copy Information:
  • 26 pages
  • Spiral Bound
  • 80# Aqueous Coating
  • 4.25" x 7.25"
  • Ships in 5 – 10 business days
What's Inside
Bulk and Institutional Ordering
About the Authors
Additional Information
  • Abbreviations, Terms, and Definitions
  • Key Points
  • Treatment
    • Lesion Assessment and Description
    • Lesion Removal
    • Diminutive (≤5 mm) and small (6–9 mm) Lesions
    • Non-pedunculated (10–19 mm) Lesions
    • Non-pedunculated (≥20 mm) Lesions
    • Pedunculated Lesions
    • Lesion Marking
    • Surveillance
    • Equipment
    • Quality of Polypectomy
  • Table
    • Suggested Electrocautery Setting
  • Figures
    • Paris Endoscopic Classification of Superficial Neoplastic Lesions in the Colon and Rectum
    • Lateral Spreading Lesions
    • Optical Diagnosis of Colorectal Lesions, NICE Classification
    • Morphologic Features of Sessile Serrated Lesions
    • Cold Polypectomy Technique
    • Inject-and-cut EMR
    • Dynamic Submucosal Injection Technique
    • Non-lifting Features of Colon Lesions
    • Hybrid ESD of Prior Incomplete Polypectomy
    • Hybrid ESD of Distal Rectal Lesion Involving Anal Canal
    • Use of Retroflexion for Complete EMR
    • Pedunculated Lesion with Prophylactic Looping
    • The Bleb Technique for Tattooing
  • Algorithm
    • Management of Colorectal Lesions
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More than 14,000 physicians from 86 countries are members of the ACG. Our vision is to be the pre-eminent professional organization that champions the evolving needs of clinicians in the delivery of high quality, evidence-based, and compassionate health care to gastroenterology patients.

The American Gastroenterological Association is the trusted voice of the GI community. Founded in 1897, the AGA has grown to include more than 16,000 members from around the globe who are involved in all aspects of the science, practice and advancement of gastroenterology.

ASGE is the leader in advancing patient care and digestive health by promoting excellence and innovation in endoscopy.


This resource is for informational purposes only, intended as a quick-reference tool based on the cited source guideline(s), and should not be used as a substitute for the independent professional judgment of healthcare providers. Practice guidelines are unable to account for every individual variation among patients or take the place of clinician judgment, and the ultimate decision concerning the propriety of any course of conduct must be made by healthcare providers after consideration of each individual patient situation. Guideline Central does not endorse any specific guideline(s) or guideline recommendations and has not independently verified the accuracy hereof. Any use of this resource or any other Guideline Central resources is strictly voluntary.

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