What factors should drive treatment choices to address adenomatous colon polyps?

Size, pathology. All adenomatous polyps should be removed. If they are too large to remove endoscopically, then surgery is usually warranted. If the polyp is removed completed on colonoscopy, but has a suspicious or worrisome pathology, then surgery is sometimes required to complete the resection. However, if the pathology is benign, then usually no further treatment is needed.

Related Questions

Which treatment works the best and fastest for colonic polyps?

Colonoscopy. During colonoscopy the doctor will snip and remove these polyps. Often there are just a few and easily managed and the patient brought back each 5 years to look for newly formed ones that are removed. The risk is polyps can eventually turn into colon cancers. In some people there are too many and they can not all be removed but they can be kept an eye on to catch those that may turn cancerous.
Polyps. Polyps are generally found during colonoscopy. During this procedure they are removed or biopsied and studied by a pathologist. If they come back cancerous or cause excess bleeding or obstruction, you may be referred for removal of part of the colon. High fiber diet may or may not help prevent recurrence or cancer.