Colorectal polyps
Summary
Definition
History and exam
Key diagnostic factors
- family history
Other diagnostic factors
- rectal bleeding
- mucus discharge
- weight loss
- tenesmus
- change in bowel habit
- symptoms and signs of anemia
Risk factors
- increasing age
- family history of colorectal cancer or colorectal polyps
- previous history of polyps
- male sex
- acromegaly
Diagnostic tests
1st tests to order
- colonoscopy
- CT colonography
- chromoendoscopy
- histology
Tests to consider
- flexible sigmoidoscopy
Emerging tests
- virtual chromoendoscopy techniques
- artificial intelligence-assisted colonoscopy
- capsule endoscopy
Treatment algorithm
suitable for endoscopic resection
unsuitable for endoscopic resection
Contributors
Authors
Edward T. Pring, FRCS, PhD
Post CCT Fellow
St Mark’s the National Bowel Hospital
London
UK
Disclosures
ETP declares that he has no competing interests.
Alison Wallace, MRCS, MSc
General Surgery Specialty Registrar
Oxford Deanery
Clinical Research Fellow
St Mark’s the National Bowel Hospital
London
UK
Disclosures
AW declares that she has no competing interests.
Marita Georgiou, MUDr, MRCS
General Surgery Specialty Registrar
East of England Deanery
Clinical Research Fellow
St Mark’s the National Bowel Hospital
General Resident Medical Officer
The London Clinic
London
UK
Disclosures
MG declares that she 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
Disclosures
JR declares that he 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
Disclosures
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
Disclosures
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
Divulgaciones
ID declares that she has no competing interests.
John T. Jenkins, MD
Consultant Colorectal Surgeon
St Mark’s the National Bowel Hospital
London
UK
Divulgaciones
JTJ declares that he has no competing interests.
Agradecimientos
Mr Edward T. Pring, Mr Jason Rai, Miss Alison Wallace, Miss Marita Georgiou, 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.
Divulgaciones
PT and GM declare that they have no competing interests.
Revisores por pares
John Anderson, FRCS
Consultant Colorectal Surgeon
Glasgow Royal Infirmary
Glasgow
UK
Divulgaciones
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
Divulgaciones
SS received a fee for educational courses on laparoscopic surgery, paid for in part by Covidien, Olympus, and Applied Medical.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
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.Texto completo Resumen
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: colorectal cancer screening [internet publication].Texto completo
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: colon cancer [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Colorectal cancer
- Hemorrhoids
- Anal fissure
Más DiferencialesGuías de práctica clínica
- NCCN clinical practice guidelines in oncology: colorectal cancer screening
- NCCN clinical practice guidelines in oncology: colon cancer
Más Guías de práctica clínicaFolletos para el paciente
Bowel cancer
Colonoscopy
Más Folletos para el paciente
Inicie sesión o suscríbase para acceder a todo el BMJ Best Practice
El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad