Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- family history
Otros factores de diagnóstico
- rectal bleeding
- mucus discharge
- weight loss
- tenesmus
- change in bowel habit
- symptoms and signs of anemia
Factores de riesgo
- increasing age
- family history of colorectal cancer or colorectal polyps
- previous history of polyps
- male sex
- acromegaly
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- colonoscopy
- CT colonography
- chromoendoscopy
- histology
Pruebas diagnósticas que deben considerarse
- flexible sigmoidoscopy
Pruebas emergentes
- virtual chromoendoscopy techniques
- artificial intelligence-assisted colonoscopy
- capsule endoscopy
Algoritmo de tratamiento
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
Divulgaciones
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
Disclosures
ID declares that she has no competing interests.
John T. Jenkins, MD
Consultant Colorectal Surgeon
St Mark’s the National Bowel Hospital
London
UK
Disclosures
JTJ declares that he has no competing interests.
Acknowledgements
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.
Disclosures
PT and GM declare that they have no competing interests.
Peer reviewers
John Anderson, FRCS
Consultant Colorectal Surgeon
Glasgow Royal Infirmary
Glasgow
UK
Disclosures
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
Disclosures
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.
References
Key articles
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.Full text Abstract
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: colorectal cancer screening [internet publication].Full text
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: colon cancer [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Colorectal cancer
- Hemorrhoids
- Anal fissure
More DifferentialsGuidelines
- NCCN clinical practice guidelines in oncology: colorectal cancer screening
- NCCN clinical practice guidelines in oncology: colon cancer
More GuidelinesPatient information
Bowel cancer
Colonoscopy
More Patient information
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