[Coloscopic treatment (author's transl)].

Treatment by coloscopy is almost exclusively identical to endoscopic polypectomy. From a technical standpoint, coloscopic polypectomy can be regarded as a sophisticated method: risks are minimal. Of a total of 1236 polyps resected endoscopically over a period of 4 years, two-thirds were resected with a coloscope. Almost 70% of the polyps were adenomas; 10 polyps proved to be carcinomas (without parts of an adenoma); 64 out of 797 polypous adenomas were associated with focal carcinomas. Indications for coloscopic polypectomy are all stalked polyps and those broad-based sessile polyps up to a diameter of about 3 cm.