Therapeutic colonoscopy: a new polyp scoring system and an old technique updated

Our series of practical articles about best endoscopic provision continues in this edition of Frontline Gastroenterology. Following last edition's piece on setting up an out of hours endoscopic service, we are delighted to publish a consensus paper describing a technique of assessing the difficulty of endoscopically removing any given colonic polyp. Defying the cliché that a camel is a horse designed by expert committee, this author group of national experts in advanced endoscopy have devised a relatively straightforward scoring system that should help rationalise service provision. Despite originally emerging out of the UK bowel screening programme, the instrument may come to have a role in training …