Nowadays, post-polypectomy surveillance intervals are determined by combining endoscopic and
pathologic data. Real-time imaging technologies, have shown promising results in
discriminating adenomatous from non-adenomatous polyps.
The "resect and discard strategy" for small polyps (based on real-time assessment of the
histology and on the endoscopic resection without pathological examination) has been shown to
be cost-effective in simulation models. No data exist about the impact of this strategy in
The aim of present study was to assess whether the systematic use, in the everyday clinical
practice, of the "resect and discard strategy" allows to correctly manage patients with small