Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- family history
Outros fatores diagnósticos
- rectal bleeding
- mucus discharge
- weight loss
- tenesmus
- change in bowel habit
- symptoms and signs of anemia
Fatores de risco
- increasing age
- family history of colorectal cancer or colorectal polyps
- previous history of polyps
- male sex
- acromegaly
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- colonoscopy
- CT colonography
- chromoendoscopy
- histology
Investigações a serem consideradas
- flexible sigmoidoscopy
Novos exames
- virtual chromoendoscopy techniques
- artificial intelligence-assisted colonoscopy
- capsule endoscopy
Algoritmo de tratamento
suitable for endoscopic resection
unsuitable for endoscopic resection
Colaboradores
Autores
Edward T. Pring, FRCS, PhD
Post CCT Fellow
St Mark’s the National Bowel Hospital
London
UK
Declarações
ETP declares that he has no competing interests.
Jason Rai, MRCS, MMedEd
General Surgery Specialty Registrar
Oxford Deanery
Clinical Research Fellow
St Mark’s the National Bowel Hospital
London
UK
Declarações
JR declares that he has no competing interests.
Allison Wallace, MRCS, MSc
General Surgery Specialty Registrar
Oxford Deanery
Clinical Research Fellow
St Mark’s the National Bowel Hospital
London
UK
Раскрытие информации
AW declares that she has no competing interests.
Laura E. Gould, MRCS
General Surgery Specialty Registrar
North East and Central London Deanery
Clinical Research Fellow
St Mark’s the National Bowel Hospital
London
UK
Раскрытие информации
LG declares that she has no competing interests.
Dinh V. C. Mai, MRCS
General Surgery Specialty Registrar
Oxford Deanery
Clinical Research Fellow at St Mark’s the National Bowel Hospital
London
UK
Раскрытие информации
DM declares that she has no competing interests.
Ioanna Drami, MRCS, MSc, BSc
General Surgery Specialty Registrar
North East and Central London Deanery
Clinical Research Fellow at St Mark’s the National Bowel Hospital
London
UK
Раскрытие информации
ID declares that she has no competing interests.
John T. Jenkins, MD
Consultant Colorectal Surgeon
St Mark’s the National Bowel Hopital
London
UK
Раскрытие информации
JTJ declares that he has no competing interests.
Выражение благодарностей
Mr Edward T. Pring, Mr Jason Rai, Miss Alison Wallace, Miss Laura E. Gould, Mr Dinh V. C. Mai, Miss Ioanna Drami and Mr John T. Jenkins would like to gratefully acknowledge Mr Phil Tozer and Mr George Malietzis previous contributors to this topic.
Раскрытие информации
PT and GM declares that they have no competing interests.
Рецензенты
John Anderson, FRCS
Consultant Colorectal Surgeon
Glasgow Royal Infirmary
Glasgow
UK
Раскрытие информации
JA declares that he has no competing interests.
Sharon Stein, MD
Assistant Professor of Surgery
Division of Colon and Rectal Surgery
University Hospital Case Medical Center
Cleveland
OH
Раскрытие информации
SS received a fee for educational courses on laparoscopic surgery, paid for in part by Covidien, Olympus, and Applied Medical.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Rex DK, Boland CR, Dominitz JA, et al. Colorectal cancer screening: recommendations for physicians and patients from the U.S. Multi-Society Task Force On Colorectal Cancer. Am J Gastroenterol. 2017 Jul;112(7):1016-30.Полный текст Аннотация
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: colon cancer [internet publication].Полный текст
Lieberman DA, Rex DK, Winawer SJ, et al. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2012 Sep;143(3):844-57.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Colorectal cancer
- Hemorrhoids
- Anal fissure
Больше ОтличияРекомендации
- NCCN clinical practice guidelines in oncology: colorectal cancer screening
- ACR appropriateness criteria: colorectal cancer screening
Больше РекомендацииЛифлеты для пациента
Bowel cancer
Colonoscopy
Больше Лифлеты для пациента
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