Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- história familiar
Outros fatores diagnósticos
- sangramento retal
- evacuação de muco
- perda de peso
- tenesmo
- alteração no hábito intestinal
- sinais e sintomas de anemia
Fatores de risco
- idade mais avançada
- história familiar de câncer colorretal ou pólipo colorretal
- história pregressa de pólipos
- sexo masculino
- acromegalia
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- colonoscopia
- colonografia por TC
- cromoendoscopia
- histologia
Investigações a serem consideradas
- sigmoidoscopia flexível
Novos exames
- técnicas de cromoendoscopia virtual
- colonoscopia assistida por inteligência artificial
- endoscopia por cápsula
Algoritmo de tratamento
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
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
Declarações
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
Declarações
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
Declarações
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
Declarações
ID declares that she has no competing interests.
John T. Jenkins, MD
Consultant Colorectal Surgeon
St Mark’s the National Bowel Hopital
London
UK
Declarações
JTJ declares that he has no competing interests.
Agradecimentos
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.
Declarações
PT and GM declares that they have no competing interests.
Revisores
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: colon cancer [internet publication].Full text
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.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Câncer colorretal
- Hemorroidas
- Fissura anal
More DifferentialsGuidelines
- NCCN clinical practice guidelines in oncology: colorectal cancer screening
- ACR appropriateness criteria: colorectal cancer screening
More GuidelinesPatient information
Câncer de intestino: devo fazer rastreamento?
Câncer de intestino: quais são as opções de tratamento?
More Patient information
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