An adenoma arises from gland-forming cells in the colon lining and is considered a precancerous lesion. Most adenomas do not become cancer, but risk increases with size, number and certain pathology features.
Why is it important? Endoscopic appearance alone cannot determine every lesion type, so complete removal and pathology are important for risk assessment.
Diagnosis and treatment Small adenomas are commonly removed with a snare, while larger lesions may need EMR, ESD or another advanced technique. Follow-up timing depends on number, size, pathology, resection completeness and examination quality.
Dr. Vosko has completed extensive specialization in the detection and removal of lesions, and possesses comprehensive mastery of the various endoscopic techniques required for performing both simple and complex resections.
A polyp is a lesion of the colonic mucosa, a protrusion formed by an accumulation of cells lining the colon.
Although most polyps do not pose a medical problem, some can become malignant over time.
Anyone can develop a colon polyp, but the risk increases after the age of 50. Individuals with obesity, those who smoke, have a high-fat diet, or a family history, are at increased risk.
Polyps develop as a result of abnormal growth of cells that make up the colonic tissue. Healthy cells grow in a regulated manner, in a process controlled by specific groups of genes.
A mutation, an abnormal growth process in one of the genes, can cause cells to grow in an uncontrolled manner.
This uncontrolled growth leads to the formation of polyps, which can develop throughout the colon.
Dysplasia is a structural and functional cellular change indicating disrupted normal development. This is a pre-cancerous condition in which the cells are not yet cancerous, but there is a significant risk of progression to malignancy if not identified and treated in time.
Dysplasia is usually classified into two main grades:
Dysplasia is diagnosed using endoscopic examinations and biopsies, sometimes combined with advanced imaging technologies that enable early and precise detection of suspicious areas.
The purpose of surveillance and treatment of dysplasia is:
Orderly follow-up and timely treatment of dysplasia significantly improve the chances of cure and reduce the need for complex interventions in the future.
A malignant tumor originating from the colon. May cause abdominal pain, weight loss, changes in bowel habits, or rectal bleeding. However, it may also present without any symptoms. The preferred diagnostic test is colonoscopy.
Polyps are small growths that develop into the lumen of the small intestine, colon, stomach, esophagus, and other organs. There is a wide variety of polyps, and some may even develop into cancerous tumors.
The larger the surface area of the polyp, the more complex its removal becomes. One of the innovative methods for removing large polyps is Polypectomy by endoscopic mucosal resection, which can replace surgery in some cases. This technique uses a fluid, such as saline, injected beneath the polyp in order to lift and isolate it from the surrounding tissue.
Dr. Vosko performs polyp removal using advanced equipment, state-of-the-art knives, cutting-edge technology, optimal and high-definition visualization, and the integration of extensive experience and skill, all of which increase the likelihood of complete removal of the polyp or lesion along with improved and quicker recovery chances.
Dr. Sergei Vosko is the head of the Endoscopic Unit at Hadassah and formerly the founder of the Department for Advanced Endoscopic Resections at Shamir Medical Center (Assaf Harofeh Hospital). Performs diagnostics, treatments, and surgeries using Advanced Endoscopy and artificial intelligence.
To schedule an examination, you can contact our customer service