Douglas K. Rex, MD, MASGE
reviewing Teramoto A, et al. Gastrointest Endosc 2019 Dec 23.
Experienced colonoscopists know that when a small polyp is encountered during insertion, it is best to remove it immediately, as identifying it during withdrawal is sometimes difficult. In this trial, patients were randomized to either removal of a left-sided lesion <1 cm in size during insertion or saving it for removal during withdrawal; researchers sought to determine whether there are clinical advantages to immediate removal of lesions during insertion.