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This article discusses the effectiveness and safety of powered endoscopic resection (EndoRotor) treatment for scarred polyps (manipulated lesions) that occur after the treatment of large polyps with conventional endoscopic and/or surgical methods. The study, conducted at Nottingham University Hospitals NHS Trust, included 42 patients who received EndoRotor treatment. The primary outcome was the complete eradication of the polyps, which was achieved in 93% of patients within three treatment sessions. The study concludes that EndoRotor is a safe and effective treatment for scarred polyps, with most patients achieving complete eradication within three sessions. [Extracted from the article]