Familial adenomatous polyposis other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
[[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 | [[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 familial adenomatous polyposis include visual detection of multiple [[colon polyps]]. [[Colonoscopy]] has 0.02% [[Mortality rate|mortality]] and 0.2% [[morbidity]] 0.2%. [[Colonoscopy]] has side effects including [[pain]], risk of [[perforation]] and [[bleeding]]. | ||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
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*[[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> | *[[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> | ||
**[[Colonoscopy]] is considered as a gold standard for evaluating [[intestine]], [[Diagnosis|diagnostic]] and [[Therapy|therapeutic]] approaches. | **[[Colonoscopy]] is considered as a gold standard for evaluating [[intestine]], [[Diagnosis|diagnostic]] and [[Therapy|therapeutic]] approaches. | ||
**Findings on a [[colonoscopy]] suggestive of | **Findings on a [[colonoscopy]] suggestive of familial adenomatous polyposis include visual detection of multiple [[colon polyps]]. | ||
**Tissue [[biopsy]] and [[polypectomy]] could be done during [[colonoscopy]]. | **Tissue [[biopsy]] and [[polypectomy]] could be done during [[colonoscopy]]. | ||
**[[Colonoscopy]] has side effects including: | **[[Colonoscopy]] has side effects including: | ||
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***[[Perforation]] 0.03-0.06% | ***[[Perforation]] 0.03-0.06% | ||
***[[Bleeding]] | ***[[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 | [[Image:Polyp.jpeg|frame|left|[[Colon polyps|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<ref name="urlFile:Polyp.jpeg - Wikimedia Commons">{{cite web |url=https://commons.wikimedia.org/w/index.php?curid=3241077 |title=File:Polyp.jpeg - Wikimedia Commons |format= |work= |accessdate=}}</ref>]] | ||
<br style="clear:left" /> | <br style="clear:left" /> | ||
*[[Sigmoidoscopy|Flexible sigmoidoscopy]] may be helpful in the diagnosis of | *[[Sigmoidoscopy|Flexible sigmoidoscopy]] 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="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 | **Findings on a [[Sigmoidoscopy|flexible sigmoidoscopy]] suggestive of familial adenomatous polyposis include visual detection of multiple [[colon polyps]]. | ||
**[[Sigmoidoscopy|Flexible sigmoidoscopy]] | **[[Sigmoidoscopy|Flexible sigmoidoscopy]] may be performed for re-examination and follow-up. | ||
[[image:FAP.jpg|thumb|left|Familial adenomatous polyposis as seen on [[Sigmoidoscopy]]. Released into public domain on permission of patient. By Samir at the English language Wikipedia, CC BY-SA 3.0<ref name="urlFile:Familial adenomatous polyposis as seen on sigmoidoscopy.jpg - Wikimedia Commons">{{cite web |url=https://commons.wikimedia.org/w/index.php?curid=2338960 |title=File:Familial adenomatous polyposis as seen on sigmoidoscopy.jpg - Wikimedia Commons |format= |work= |accessdate=}}</ref>]] | |||
*[[Capsule endoscopy]] may be helpful in the diagnosis of | <br style="clear:left" /> | ||
**Findings on a capsule endoscopy suggestive of colon polyps include visual detection of | *[[Capsule endoscopy]] may be helpful in the diagnosis of familial adenomatous polyposis.<ref name="IaquintoFornasarig2008">{{cite journal|last1=Iaquinto|first1=Gaetano|last2=Fornasarig|first2=Mara|last3=Quaia|first3=Michele|last4=Giardullo|first4=Nicola|last5=D'Onofrio|first5=Vittorio|last6=Iaquinto|first6=Salvatore|last7=Di Bella|first7=Simone|last8=Cannizzaro|first8=Renato|title=Capsule endoscopy is useful and safe for small-bowel surveillance in familial adenomatous polyposis|journal=Gastrointestinal Endoscopy|volume=67|issue=1|year=2008|pages=61–67|issn=00165107|doi=10.1016/j.gie.2007.07.048}}</ref> | ||
**Findings on a capsule endoscopy suggestive of colon polyps include visual detection of multiple [[Polyp|polyps]]. | |||
**It assesses the location, size, and number of small-bowel [[Polyp|polyps]]. | |||
**It is recommended for the surveillance of jejunal-ileal [[Polyp|polyps]] in selected patients. | |||
**Relative contraindication for capsule endoscopy is [[Abdomen|abdominal]] [[surgery]]. | |||
*Forward-viewing and side-viewing [[endoscopy]] may be helpful in the diagnosis of familial adenomatous polyposis. | |||
**Forward-viewing and side-viewing [[endoscopy]] are used for surveillance of periampullary and [[Duodenum|duodenal]] polyposis. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category: | [[Category:Oncology]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
Latest revision as of 21:43, 29 July 2020
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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 familial adenomatous polyposis include visual detection of multiple colon polyps. 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
- Colonoscopy may be helpful in the diagnosis of familial adenomatous polyposis.[1][2][3][4][5]
- Colonoscopy is considered as a gold standard for evaluating intestine, diagnostic and therapeutic approaches.
- Findings on a colonoscopy suggestive of familial adenomatous polyposis include visual detection of multiple colon polyps.
- Tissue biopsy and polypectomy could be done during colonoscopy.
- Colonoscopy has side effects including:
- Mortality 0.02%
- Morbidity 0.2%
- Pain
- Perforation 0.03-0.06%
- Bleeding
- Flexible sigmoidoscopy may be helpful in the diagnosis of familial adenomatous polyposis.[1][7]
- Findings on a flexible sigmoidoscopy suggestive of familial adenomatous polyposis include visual detection of multiple colon polyps.
- Flexible sigmoidoscopy may be performed for re-examination and follow-up.
- Capsule endoscopy may be helpful in the diagnosis of familial adenomatous polyposis.[9]
- Findings on a capsule endoscopy suggestive of colon polyps include visual detection of multiple polyps.
- It assesses the location, size, and number of small-bowel polyps.
- It is recommended for the surveillance of jejunal-ileal polyps in selected patients.
- Relative contraindication for capsule endoscopy is abdominal surgery.
- Forward-viewing and side-viewing endoscopy may be helpful in the diagnosis of familial adenomatous polyposis.
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ "File:Polyp.jpeg - Wikimedia Commons". External link in
|title=(help) - ↑ 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.
- ↑ "File:Familial adenomatous polyposis as seen on sigmoidoscopy.jpg - Wikimedia Commons".
- ↑ Iaquinto, Gaetano; Fornasarig, Mara; Quaia, Michele; Giardullo, Nicola; D'Onofrio, Vittorio; Iaquinto, Salvatore; Di Bella, Simone; Cannizzaro, Renato (2008). "Capsule endoscopy is useful and safe for small-bowel surveillance in familial adenomatous polyposis". Gastrointestinal Endoscopy. 67 (1): 61–67. doi:10.1016/j.gie.2007.07.048. ISSN 0016-5107.