- Large juvenile polyp in the descending colon

- Treatment: polypectomy.

Management

ESGE/ESPGHAN suggest removal of very small polyps (< 3mm) by cold biopsy forceps and 3–8mm polyps by hot or cold snaring. Cold snaring is advisable in the right colon where the perforation risk is higher. For polyps > 8 mm, hot snaring is suggested

Adenomatous polyps

• Multiple adenomatous polyps identified at sigmoidoscopy in a 15-year-old boy being screened for familial adenomatous polyposis due to a maternal familial adenomatous polyposis history.

• Treatment: polypectomy, surveillance every three years.

FAP