Familial adenomatous polyposis screening: Difference between revisions
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Screening for familial adenomatous polyposis by genetic testing and/or [[colonoscopy]] is recommended among patients with history of multiple colonic adenomas and family history of familial adenomatous polyposis. | Screening for familial adenomatous polyposis by genetic testing and/or [[colonoscopy]] is recommended among patients with history of multiple colonic adenomas and family history of familial adenomatous polyposis. | ||
==Screening== | ==Screening== | ||
Screening for familial adenomatous polyposis for individuals at high risk is done by:<ref name="KennedyPotter2014">{{cite journal|last1=Kennedy|first1=Raelene D.|last2=Potter|first2=D. Dean|last3=Moir|first3=Christopher R.|last4=El-Youssef|first4=Mounif|title=The natural history of familial adenomatous polyposis syndrome: A 24year review of a single center experience in screening, diagnosis, and outcomes|journal=Journal of Pediatric Surgery|volume=49|issue=1|year=2014|pages=82–86|issn=00223468|doi=10.1016/j.jpedsurg.2013.09.033}}</ref> | *Screening for familial adenomatous polyposis for individuals at high risk is done by:<ref name="KennedyPotter2014">{{cite journal|last1=Kennedy|first1=Raelene D.|last2=Potter|first2=D. Dean|last3=Moir|first3=Christopher R.|last4=El-Youssef|first4=Mounif|title=The natural history of familial adenomatous polyposis syndrome: A 24year review of a single center experience in screening, diagnosis, and outcomes|journal=Journal of Pediatric Surgery|volume=49|issue=1|year=2014|pages=82–86|issn=00223468|doi=10.1016/j.jpedsurg.2013.09.033}}</ref> | ||
*[[Sigmoidoscopy]] every 2 years beginning at age of 10 | **[[Sigmoidoscopy]] every 2 years beginning at age of 10 | ||
*[[Colonoscopy]] every year following finding adenoma | **[[Colonoscopy]] every year following finding adenoma | ||
*If there is a positive family history of familial adenomatous polyposis, screening colonoscopy must be started at the age of the youngest family member's polyps or symptoms. | **If there is a positive family history of familial adenomatous polyposis, screening colonoscopy must be started at the age of the youngest family member's polyps or symptoms. | ||
*If patients develop high-grade dysplasia or invasive adenocarcinoma on colonoscopy, they should undergo proctocolectomy. | |||
* | |||
==References== | ==References== | ||
Revision as of 19:59, 29 January 2018
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Familial adenomatous polyposis Microchapters |
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Differentiating Familial adenomatous polyposis from other Diseases |
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Familial adenomatous polyposis screening On the Web |
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Risk calculators and risk factors for Familial adenomatous polyposis screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [2]
Overview
Screening for familial adenomatous polyposis by genetic testing and/or colonoscopy is recommended among patients with history of multiple colonic adenomas and family history of familial adenomatous polyposis.
Screening
- Screening for familial adenomatous polyposis for individuals at high risk is done by:[1]
- Sigmoidoscopy every 2 years beginning at age of 10
- Colonoscopy every year following finding adenoma
- If there is a positive family history of familial adenomatous polyposis, screening colonoscopy must be started at the age of the youngest family member's polyps or symptoms.
- If patients develop high-grade dysplasia or invasive adenocarcinoma on colonoscopy, they should undergo proctocolectomy.
References
- ↑ Kennedy, Raelene D.; Potter, D. Dean; Moir, Christopher R.; El-Youssef, Mounif (2014). "The natural history of familial adenomatous polyposis syndrome: A 24year review of a single center experience in screening, diagnosis, and outcomes". Journal of Pediatric Surgery. 49 (1): 82–86. doi:10.1016/j.jpedsurg.2013.09.033. ISSN 0022-3468.