Can Polyps Be Removed During a Colonoscopy Without Anesthesia?

Colorectal polyp

Hello, doctor.
I would like to ask if polyps can be removed during a colonoscopy.
Can polyps be removed during a colonoscopy without anesthesia? Also, will removing polyps during a colonoscopy affect my ability to work? Do I need to rest afterward?

Kai, 20~29 year old female. Ask Date: 2017/04/16

Dr. Chen Jiaming reply Surgery

During a colonoscopy, if polyps are found, they are typically removed during the same procedure, unless the polyps have specific characteristics (for example, if they are too large and require special instruments).
Generally, polypectomy does not cause additional pain (it can also be performed during a non-sedated colonoscopy).
Typically, no special rest is required, but patients should be vigilant for any abnormal abdominal pain (which could indicate bowel perforation) or persistent bleeding.
If any of these issues arise, immediate medical attention should be sought.

Reply Date: 2017/04/16

More Info

Yes, polyps can be removed during a colonoscopy without general anesthesia, but the procedure is typically performed under sedation or local anesthesia to ensure patient comfort. The use of sedation, such as midazolam, is common during colonoscopy procedures, as it helps to alleviate anxiety and discomfort associated with the examination. While it is technically possible to perform a polypectomy (the removal of polyps) without anesthesia, most patients would find the procedure uncomfortable due to the manipulation of instruments in the colon.

Colonoscopy is a vital procedure for detecting and removing polyps, which are growths on the lining of the colon that can potentially develop into colorectal cancer. The decision to remove polyps during the procedure is based on their size, type, and appearance. If a polyp is identified, the gastroenterologist will typically use a snare or other tools to excise it, and this is usually done during the same session as the colonoscopy.

Regarding the impact on work and the need for recovery time, it largely depends on the individual and the extent of the procedure. Most patients can resume normal activities within a day or two after a colonoscopy, especially if they have received only mild sedation. However, if deeper sedation or anesthesia is used, it is advisable to take the day off work to allow the sedative effects to wear off completely.
Post-procedure, patients are often advised to rest and avoid strenuous activities for at least 24 hours. This is particularly important if sedation was used, as it can impair coordination and judgment. Additionally, some patients may experience mild cramping or bloating after the procedure, which typically resolves within a few hours.

In summary, while it is possible to remove polyps during a colonoscopy without general anesthesia, the use of sedation is highly recommended for patient comfort. Most patients can return to work within a day or two, but it is essential to listen to one’s body and follow any specific post-procedure instructions provided by the healthcare team. If you have concerns about the procedure or recovery, discussing them with your gastroenterologist can provide clarity and reassurance.

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