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December 11, 1948

TREATMENT OF RECTAL AND RECTOSIGMOID POLYPS: Funnel Tip Suction as an Aid in Their Removal

Author Affiliations

New York

From the Surgical Service, St. Luke's Hospital, New York.

JAMA. 1948;138(15):1090. doi:10.1001/jama.1948.62900150001006

The removal of polyps of the upper part of the rectum and rectosigmoid presents technical difficulties of some magnitude if performed through a proctoscope. The proper and complete removal of such a lesion through the anal outlet may give accurate data for proper diagnosis and prognosis and information as to the need for further operation. Piecemeal removal of such lesions should be avoided, because the gross appearance of the polyp, together with sections through the base or pedicle, is most important in determining the proper treatment of the patient.

These lesions can be removed by several technics. David1 advocated section of the sphincter in the posterior commissure with prolapse of the mucous membrane with the polyp and local excision. Others have approached the lesion through the ischiorectal space with local excision and without sphincter section. Removal through a proctoscope with an electric snare provides a simpler form of treatment