The Complex Polyp Service manages patients who have a polyp or multiple polyps seen on a colonoscopy, flexible sigmoidoscopy or CT scan that require a higher level of endoscopy skill to remove the lesion.
The term complex polyp refers to a colon or rectal polyp that can be more challenging to remove than most polyps typically encountered on colonoscopy. Features of a complex polyp include:
- Large size (greater than two centimetres)
- Difficult-to-reach location
- Very flat shape.
The complex polyp team comprises of highly specialised endoscopists, colorectal surgeons, specialist nurses and administrators.
We are the only supra-regional level four centre, for Merseyside and Cheshire and take referrals locally, throughout the region and Wales. We also take referrals from a number of local and regional cancer multidisciplinary meetings.
More information
Patients are usually referred from their local hospital with any of the below findings on endoscopy:
- SMSA Score >9
- Lesion at the Appendiceal orifice (regardless of SMSA score)
- Lesion at the ICV (regardless of SMSA score)
- Recurrent polyps (regardless of SMSA score)
- Polyps at high risk of cancer (regardless of SMSA score)
- Disrupted pit pattern (pit pattern v)
- Histology with on biopsy HGD
- LST-NG or LST-G with nodules.
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Royal Liverpool University Hospital
Address: Royal Liverpool University Hospital
Prescot Street
Liverpool
Merseyside
L7 8XPFor maps and other information visit our Getting Here page for Royal Liverpool University Hospital