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Complex Colorectal Polyps


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A colonoscopy is a routine screening that checks your colon and anus for polyps, which can be signs of cancer. In most cases, the polyps found during a colonoscopy can be safely removed during that same procedure. However, about 10 - 15% of polyps are larger and need to be removed during another procedure.

Generally, a colorectal polyp is considered to be a complex polyp if it is:

  • Larger than 2 centimeters.
  • Located in an area that is difficult to reach during the colonoscopy procedure.
  • Too flat (sessile) for removal during a typical colonoscopy.


Complex colorectal polyps are discovered during routine colonoscopy screening tests. They can also be removed in most instances during the initial colonoscopy.


Your colorectal surgeon will remove the complex colorectal polyp with either an endoscopic mucosal resection (EMR) or an endoscopic submucosal dissection (ESD), depending on your exact situation. Sometimes, a combined endoscopic and laparoscopic approach is used to remove benign polyps.

Why Choose UHealth?

A broad array of diagnostic and therapeutic procedures. Regardless of your age, condition, or whether you need long- or short-term digestive treatments, you will receive the most accurate diagnosis and most effective treatment to keep your stomach, digestive system, and organs healthy.

Improving the future of surgical care. We participate in the latest research and clinical trials, which help determine which surgeries work best for which patients. This research improves patient safety and quality of care while shaping the future of surgical treatment. Our surgeons have helped develop new procedures to treat a wide range of conditions, helping patients experience faster recoveries and fewer surgical risks.

Leaders in robotic surgery treatment. The University of Miami Health System is home to some of the world’s most experienced robotic surgeons. That’s why doctors from across the globe come to our facility to learn from our surgeons. We were the first academic medical center to use the da Vinci Xi robotic surgery system and complete more than 5,000 robotic surgeries — procedures that offer less pain and scarring and a faster recovery.

A comprehensive team of surgeons. We provide advanced surgical care for many health problems — from heart conditions to cancer. You’ll receive care from a surgeon who has specialized experience and expertise in your specific condition, ensuring you receive the right care for your needs.

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