The endoscopic treatment of colorectal neoplasia is indicated for precancerous lesions (adenomas and serrated lesions) and early carcinomas with superficial submucosal invasion, which have a very low risk of metastasis to lymph nodes. Endoscopic polypectomy and endoscopic mucosal resection remain the standard endoscopic therapy technique for most colorectal neoplasias.
Their advantage is simplicity and relatively low incidence of complications. New endoscopic therapy techniques include endoscopic submucosal dissection and endoscopic transmural resection.
Their use is reserved for difficult-to-resect lesions. This paper describes the limits of standard endoscopic therapy and the indication of new therapeutic methods