Familial adenomatous polyposis other diagnostic studies: Difference between revisions

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__NOTOC__
__NOTOC__
{{Familial adenomatous polyposis}}
{{Familial adenomatous polyposis}}
{{CMG}} {{AE}} {{MJK}}
{{CMG}}; {{AE}} {{SSH}}, {{MJK}}
 
==Overview==
==Overview==
Other imaging diagnostic studies that can be used for familial adenomatous polyposis are [[colonoscopy]] and [[sigmoidoscopy]].
[[Colonoscopy]] is considered as a gold standard for evaluating [[intestine]], [[Diagnosis|diagnostic]] and [[Therapy|therapeutic]] approaches. Tissue [[biopsy]] and [[polypectomy]] could be done during [[colonoscopy]]. Findings on a [[colonoscopy]] and [[Sigmoidoscopy|flexible sigmoidoscopy]] suggestive of colon polyps include visual detection of an outgrowth. [[Colonoscopy]] has 0.02% [[Mortality rate|mortality]] and 0.2% [[morbidity]] 0.2%. [[Colonoscopy]] has side effects including [[pain]], risk of [[perforation]] and [[bleeding]].  
==Key findings in colonoscopy in familial adenomatous polyposis==
*Sigmoidoscopy checks for polyps and other abnormalities in the lower colon and rectum.
*Colonoscopy is the diagnostic test of choice. It checks for polyps and other abnormalities in the entire colon and rectum.


==References==
==Other Diagnostic Studies==
{{Reflist|2}}


[[Category:Gastroenterology]]
*[[Colonoscopy]] may be helpful in the diagnosis of familial adenomatous polyposis.<ref name="ArnesenGinnerup-Pedersen2016">{{cite journal|last1=Arnesen|first1=R. B.|last2=Ginnerup-Pedersen|first2=B.|last3=Poulsen|first3=P. B.|last4=von Benzon|first4=E.|last5=Adamsen|first5=S.|last6=Laurberg|first6=S.|last7=Hart-Hansen|first7=O.|title=Cost-effectiveness of computed tomographic colonography: a prospective comparison with colonoscopy|journal=Acta Radiologica|volume=48|issue=3|year=2016|pages=259–266|issn=0284-1851|doi=10.1080/02841850601182139}}</ref><ref name="PonugotiLin2017">{{cite journal|last1=Ponugoti|first1=Prasanna|last2=Lin|first2=Jingmei|last3=Odze|first3=Robert|last4=Snover|first4=Dale|last5=Kahi|first5=Charles|last6=Rex|first6=Douglas K.|title=Prevalence of sessile serrated adenoma/polyp in hyperplastic-appearing diminutive rectosigmoid polyps|journal=Gastrointestinal Endoscopy|volume=85|issue=3|year=2017|pages=622–627|issn=00165107|doi=10.1016/j.gie.2016.10.022}}</ref><ref name="JohnsonKisiel2017">{{cite journal|last1=Johnson|first1=David H.|last2=Kisiel|first2=John B.|last3=Burger|first3=Kelli N.|last4=Mahoney|first4=Douglas W.|last5=Devens|first5=Mary E.|last6=Ahlquist|first6=David A.|last7=Sweetser|first7=Seth|title=Multitarget stool DNA test: clinical performance and impact on yield and quality of colonoscopy for colorectal cancer screening|journal=Gastrointestinal Endoscopy|volume=85|issue=3|year=2017|pages=657–665.e1|issn=00165107|doi=10.1016/j.gie.2016.11.012}}</ref><ref name="O'Brien2007">{{cite journal|last1=O'Brien|first1=Michael J.|title=Hyperplastic and Serrated Polyps of the Colorectum|journal=Gastroenterology Clinics of North America|volume=36|issue=4|year=2007|pages=947–968|issn=08898553|doi=10.1016/j.gtc.2007.08.007}}</ref><ref name="MorenoMittal2014">{{cite journal|last1=Moreno|first1=Courtney C.|last2=Mittal|first2=Pardeep K.|last3=Henson|first3=Nicholas L.|last4=Baumgarten|first4=Deborah A.|last5=Alexander|first5=Lauren F.|last6=Hanes|first6=Timothy S.|last7=Small|first7=William C.|last8=Kitajima|first8=Hiroumi D.|last9=Kang|first9=Jian|last10=Votaw|first10=John R.|last11=Oshinski|first11=John N.|last12=Dixon|first12=W. Thomas|title=Optimal section thickness for detection of polyps at MR: resolution phantom study|journal=Abdominal Imaging|volume=40|issue=6|year=2014|pages=1451–1456|issn=0942-8925|doi=10.1007/s00261-014-0331-6}}</ref>
[[Category:Genetic disorders]]
**[[Colonoscopy]] is considered as a gold standard for evaluating [[intestine]], [[Diagnosis|diagnostic]] and [[Therapy|therapeutic]] approaches.
[[Category:Genetic Disease]]
**Findings on a [[colonoscopy]] suggestive of colon polyps include visual detection of an outgrowth.
[[Category:Disease]]
**Tissue [[biopsy]] and [[polypectomy]] could be done during [[colonoscopy]].
**[[Colonoscopy]] has side effects including:
***[[Mortality rate|Mortality]] 0.02%
***[[Morbidity]] 0.2%
***[[Pain]]
***[[Perforation]] 0.03-0.06%
***[[Bleeding]]
[[Image:Polyp.jpeg|frame|left|Colon polyp on a short stalk. Attribute to Stephen Holland, M.D., Naperville Gastroenterology, Naperville, IL, USA. By Original uploader was Rsabbatini at en.wikipediaLater version(s) were uploaded by Kd4ttc at en.wikipedia. - Transfered from en.wikipedia, CC BY 2.5, https://commons.wikimedia.org/w/index.php?curid=3241077]]
<br style="clear:left" />


*[[Sigmoidoscopy|Flexible sigmoidoscopy]] may be helpful in the diagnosis of colon polyps.<ref name="ArnesenGinnerup-Pedersen2016">{{cite journal|last1=Arnesen|first1=R. B.|last2=Ginnerup-Pedersen|first2=B.|last3=Poulsen|first3=P. B.|last4=von Benzon|first4=E.|last5=Adamsen|first5=S.|last6=Laurberg|first6=S.|last7=Hart-Hansen|first7=O.|title=Cost-effectiveness of computed tomographic colonography: a prospective comparison with colonoscopy|journal=Acta Radiologica|volume=48|issue=3|year=2016|pages=259–266|issn=0284-1851|doi=10.1080/02841850601182139}}</ref><ref name="ShussmanWexner2014">{{cite journal|last1=Shussman|first1=N.|last2=Wexner|first2=S. D.|title=Colorectal polyps and polyposis syndromes|journal=Gastroenterology Report|volume=2|issue=1|year=2014|pages=1–15|issn=2052-0034|doi=10.1093/gastro/got041}}</ref>
**Findings on a [[Sigmoidoscopy|flexible sigmoidoscopy]] suggestive of colon polyps include visual detection of an outgrowth.
**[[Sigmoidoscopy|Flexible sigmoidoscopy]] might be performed for re-examination and follow-up.
**For screening, [[Sigmoidoscopy|flexible sigmoidoscopy]] must be used every five years.
*[[Capsule endoscopy]] may be helpful in the diagnosis of colon polyps.
**Findings on a capsule endoscopy suggestive of colon polyps include visual detection of an outgrowth.


{{WH}}
==References==
{{WS}}
{{Reflist|2}}
[[Category:Up-To-Date]]
​​[[Category:Medicine]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Up-To-Date]]​​
[[Category:Primary care]]

Revision as of 16:13, 29 January 2018


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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2], Mohamad Alkateb, MBBCh [3]

Overview

Colonoscopy is considered as a gold standard for evaluating intestine, diagnostic and therapeutic approaches. Tissue biopsy and polypectomy could be done during colonoscopy. Findings on a colonoscopy and flexible sigmoidoscopy suggestive of colon polyps include visual detection of an outgrowth. Colonoscopy has 0.02% mortality and 0.2% morbidity 0.2%. Colonoscopy has side effects including pain, risk of perforation and bleeding.

Other Diagnostic Studies

Colon polyp on a short stalk. Attribute to Stephen Holland, M.D., Naperville Gastroenterology, Naperville, IL, USA. By Original uploader was Rsabbatini at en.wikipediaLater version(s) were uploaded by Kd4ttc at en.wikipedia. - Transfered from en.wikipedia, CC BY 2.5, https://commons.wikimedia.org/w/index.php?curid=3241077


References

  1. 1.0 1.1 Arnesen, R. B.; Ginnerup-Pedersen, B.; Poulsen, P. B.; von Benzon, E.; Adamsen, S.; Laurberg, S.; Hart-Hansen, O. (2016). "Cost-effectiveness of computed tomographic colonography: a prospective comparison with colonoscopy". Acta Radiologica. 48 (3): 259–266. doi:10.1080/02841850601182139. ISSN 0284-1851.
  2. Ponugoti, Prasanna; Lin, Jingmei; Odze, Robert; Snover, Dale; Kahi, Charles; Rex, Douglas K. (2017). "Prevalence of sessile serrated adenoma/polyp in hyperplastic-appearing diminutive rectosigmoid polyps". Gastrointestinal Endoscopy. 85 (3): 622–627. doi:10.1016/j.gie.2016.10.022. ISSN 0016-5107.
  3. Johnson, David H.; Kisiel, John B.; Burger, Kelli N.; Mahoney, Douglas W.; Devens, Mary E.; Ahlquist, David A.; Sweetser, Seth (2017). "Multitarget stool DNA test: clinical performance and impact on yield and quality of colonoscopy for colorectal cancer screening". Gastrointestinal Endoscopy. 85 (3): 657–665.e1. doi:10.1016/j.gie.2016.11.012. ISSN 0016-5107.
  4. O'Brien, Michael J. (2007). "Hyperplastic and Serrated Polyps of the Colorectum". Gastroenterology Clinics of North America. 36 (4): 947–968. doi:10.1016/j.gtc.2007.08.007. ISSN 0889-8553.
  5. Moreno, Courtney C.; Mittal, Pardeep K.; Henson, Nicholas L.; Baumgarten, Deborah A.; Alexander, Lauren F.; Hanes, Timothy S.; Small, William C.; Kitajima, Hiroumi D.; Kang, Jian; Votaw, John R.; Oshinski, John N.; Dixon, W. Thomas (2014). "Optimal section thickness for detection of polyps at MR: resolution phantom study". Abdominal Imaging. 40 (6): 1451–1456. doi:10.1007/s00261-014-0331-6. ISSN 0942-8925.
  6. Shussman, N.; Wexner, S. D. (2014). "Colorectal polyps and polyposis syndromes". Gastroenterology Report. 2 (1): 1–15. doi:10.1093/gastro/got041. ISSN 2052-0034.

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