Polypectomy in Jalandhar — Cancer Prevented, Not Detected
A polyp removed today is a colon cancer that never happens. It is taken out during the same colonoscopy that finds it — no second visit, no operation.
Which Polyps Must Come Out
Most polyps are harmless. Some are not, and there is no way to tell by looking without removing and testing them.
Adenomatous polyps
Tubular, villous and tubulovillous adenomas are pre-cancerous. Risk rises with size over 10 mm, high-grade dysplasia and villous architecture. These must come out.
Sessile serrated adenomas
Flat and easy to miss, which is what makes them dangerous. They carry real cancer risk and need careful complete removal.
Hyperplastic polyps
Usually benign, typically small and in the rectum — but removed and tested rather than assumed about.
Any polyp over 10 mm
Size alone raises the risk enough to warrant complete resection with careful margin checking.
Multiple polyps
Three or more changes your surveillance interval substantially, so an accurate count matters.
FAP or Lynch syndrome
Inherited syndromes need repeated polypectomy sessions and genetic counselling alongside.
How a Polyp Is Removed
It happens inside a colonoscopy, so the preparation and recovery are the colonoscopy’s.
Colonoscopy prep
- Low-fibre diet then clear liquids the day before
- Prescribed bowel prep taken exactly as instructed
- Blood thinners paused on instruction — important, since polypectomy bleeds
- Arrange a lift home, since you will be sedated
Find, assess, remove
- Colonoscopy under IV sedation — you sleep through it
- Polyp identified and its size, shape and surface assessed
- Technique chosen: cold snare, hot snare, EMR or ESD
- Polyp removed, margins checked, tissue sent for pathology
Pathology and your next date
- Recovery until sedation wears off; no driving for 24 hours
- A little blood in the stool for a day or two can be normal
- Pathology in 3 to 5 days tells you the polyp type
- Surveillance interval set from the pathology, 1 to 5 years
How Polyps Are Taken Out
The technique is matched to the polyp, not the other way round.
DetectionHigh adenoma detection rate
Snare removalCold and hot snare
EMR and ESDFor larger, flatter lesions
Matched to the Polyp in Front of Him
Size, shape and how flat it sits decide which of these is used.
Cold snare polypectomy
A wire loop removes small polyps under 10 mm without heat. Lowest complication rate, and the default for small lesions.
Hot snare polypectomy
Electrocautery through the snare removes larger polyps and seals the base as it cuts.
Endoscopic mucosal resection
Fluid lifts a large flat polyp off the muscle layer so it can be resected safely in one or more pieces.
Endoscopic submucosal dissection
The most advanced approach, taking large lesions out whole so the pathologist can assess the full margin.
Margin verification
The base is inspected after removal to confirm nothing has been left behind — incomplete resection is how recurrences happen.
Tattooing the site
The location is marked with ink so it can be found precisely at the surveillance colonoscopy.
Polyp Type, Cancer Risk and Your Next Colonoscopy
The report that comes back in 3 to 5 days sets your surveillance interval. This is how to read it.
| Polyp type | Cancer risk | Action | Next colonoscopy |
|---|---|---|---|
| Hyperplastic, under 10 mm, rectum | Low | Removed and biopsied during colonoscopy | 10 years, routine screening |
| Tubular adenoma, 1 to 2 small | Low to moderate | Removed immediately | 3 to 5 years |
| Tubular adenoma, 3 to 4 or any over 10 mm | Moderate | All removed, margins checked carefully | 3 years |
| Villous or tubulovillous adenoma | High | Complete removal essential, EMR if large | 1 to 3 years |
| High-grade dysplasia | High | Urgent removal, clear margins confirmed | 1 year |
| Sessile serrated adenoma | Moderate | Complete removal — flat, needs care | 3 years |
| FAP or Lynch syndrome | Very high | Multiple sessions, genetic counselling | Every 1 to 2 years |
Tell Dr. Ankit about blood thinners before, not after
Polypectomy leaves a raw base, so bleeding is the main risk — usually minor, occasionally not. If you take aspirin, clopidogrel, warfarin or a newer anticoagulant, say so at booking, because the timing of pausing them is a clinical decision. A small amount of blood in the stool for a day or two afterwards is expected. Heavy bleeding, severe pain or fever means call immediately.
Polypectomy Is Done at Innocent Hearts Hospital
It happens inside a colonoscopy, so it is done wherever the colonoscopy is done.
Innocent Hearts Hospital
Colonoscopy, polypectomy, EMR and ESD- Procedure timings
- Mon–Sat10:00 am – 5:00 pm
- Gastro ICU24 / 7
Polypectomy is prevention. So is catching fatty liver at Grade 1.
The logic of removing a polyp is that a small problem dealt with now avoids a large one in ten years. The liver works the same way — Grade 1 and 2 fatty liver is fully reversible, F4 cirrhosis is not. That preventive side of the practice is where Hepatolean Advance Liver Pro+ came from, the sugar-free liver-care protein Dr. Ankit formulated. It has nothing to do with colon polyps. It is worth a mention only because the patients sent for screening colonoscopy on metabolic grounds are often the same ones who should have a FibroScan.
Polypectomy — Frequently Asked Questions
Does removing a polyp hurt?
Do all polyps turn into cancer?
Will I need surgery?
Is there bleeding afterwards?
When is my next colonoscopy?
Can polyps come back?
Screening Colonoscopy Is How Polyps Get Found
Polypectomy is not booked on its own — it happens during a colonoscopy. Book an OPD consultation and the colonoscopy is scheduled from there.