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Pólipos colorretais

Última revisão: 29 Jun 2025
Última atualização: 01 Nov 2024

Resumo

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • presença de fatores de risco
  • história familiar
Todos los datos

Otros factores de diagnóstico

  • sangramento retal
  • evacuação de muco
  • perda de peso
  • tenesmo
  • alteração no hábito intestinal
  • sinais e sintomas de anemia
Todos los datos

Factores de riesgo

  • idade mais avançada
  • história familiar de câncer colorretal ou pólipo colorretal
  • história pregressa de pólipos
  • sexo masculino
  • acromegalia
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • colonoscopia
  • colonografia por TC
  • cromoendoscopia
  • histologia
Todos los datos

Pruebas diagnósticas que deben considerarse

  • sigmoidoscopia flexível
Todos los datos

Pruebas emergentes

  • técnicas de cromoendoscopia virtual
  • colonoscopia assistida por inteligência artificial
  • endoscopia por cápsula

Algoritmo de tratamiento

Agudo

adequada para ressecção endoscópica

inadequada para ressecção endoscópica

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.

Jason Rai, MRCS, MMedEd

General Surgery Specialty Registrar

Oxford Deanery

Clinical Research Fellow

St Mark’s the National Bowel Hospital

London

UK

Divulgaciones

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

Divulgaciones

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

Divulgaciones

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

Divulgaciones

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 Hopital

London

UK

Divulgaciones

JTJ declares that he has no competing interests.

Agradecimientos

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.

Divulgaciones

PT and GM declares 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.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

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: colon cancer [internet publication].Texto completo

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.Texto completo  Resumen

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.
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