结直肠息肉

最后审阅: 7 一月 2023
最后更新: 11 八月 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 家族史
更多 关键诊断因素

其他诊断因素

  • 直肠出血
  • 黏液分泌
  • 体重减轻
  • 里急后重
  • 大便习惯改变
  • 贫血症状和体征
其他诊断因素

危险因素

  • 年龄增长
  • 结直肠癌或结直肠息肉家族史
  • 既往史有息肉
  • 男性
  • 肢端肥大症
更多 危险因素

诊断性检查

首要检查

  • 结肠镜检查
  • CT 结肠成像术
  • 色素内镜
  • 组织学
更多 首要检查

需考虑的检查

  • 可屈性乙状结肠镜检查
更多 需考虑的检查

新兴检查

  • 自体荧光
  • 帽辅助结肠镜检查
  • 虚拟色素内镜技术

治疗流程

急症处理

适合行内镜切除术

不适合行内镜切除术

撰稿人

作者

Edward T. Pring, FRCS

Specialty Registrar

University College Hospital

London

UK

利益声明

ETP declares that he has no competing interests.

Laura E. Gould, MRCS

Specialty Registrar

St Mark’s Hospital

Harrow

UK

利益声明

LEG declares that she has no competing interests.

George Malietzis, PhD, FRCS

Consultant General and Colorectal Surgeon

Mediterranean Hospital

Cyprus

Honorary Clinical Lecturer

Department of Surgery and Cancer

Imperial College London

London

UK

利益声明

GM declares that he has no competing interests.

Ioanna Drami, MRCS

Specialty Registrar

St Mark’s Hospital

Harrow

UK

利益声明

ID declares that she has no competing interests.

Dinh Mai, MRCS

Specialty Registrar

St Mark’s Hospital

Harrow

UK

利益声明

DM declares that he has no competing interests.

John T. Jenkins, MD

Consultant Colorectal Surgeon

Department of Coloproctology

St. Mark's Hospital

London

UK

利益声明

JTJ declares that he has no competing interests.

鸣谢

Dr Edward T. Pring, Dr Laura E. Gould, Dr George Malietzis, Dr Ioanna Drami, Dr Dinh Mai, and Dr John T. Jenkins would like to gratefully acknowledge Dr Phil Tozer, a previous contributor to this topic.

利益声明

PT declares that he has no competing interests.

同行评议者

John Anderson, FRCS

Consultant Colorectal Surgeon

Glasgow Royal Infirmary

Glasgow

UK

利益声明

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

利益声明

SS received a fee for educational courses on laparoscopic surgery, paid for in part by Covidien, Olympus, and Applied Medical.

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