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
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
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
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
需考虑的检查
- 可屈性乙状结肠镜检查
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
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.
鉴别诊断
- 结直肠癌
- 痔
- 肛裂
更多 鉴别诊断指南
- 关于结直肠癌筛查开始和停止年龄的更新
- 美国胃肠道内镜学会消化掉内镜操作知情同意指南
更多 指南患者教育信息
肠癌：什么是肠癌？
肠癌：如何有效治疗？
更多 患者教育信息
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明