Familial adenomatous polyposis other diagnostic studies: Difference between revisions
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**[[Sigmoidoscopy|Flexible sigmoidoscopy]] might be performed for re-examination and follow-up. | **[[Sigmoidoscopy|Flexible sigmoidoscopy]] might be performed for re-examination and follow-up. | ||
**For screening, [[Sigmoidoscopy|flexible sigmoidoscopy]] must be used every five years. | **For screening, [[Sigmoidoscopy|flexible sigmoidoscopy]] must be used every five years. | ||
[[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>]] | |||
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*[[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> | *[[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 an outgrowth. | **Findings on a capsule endoscopy suggestive of colon polyps include visual detection of an outgrowth. | ||
Revision as of 15:56, 30 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
- 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 colon polyps include visual detection of an outgrowth.
- 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 colon polyps.[1][6]
- Findings on a flexible sigmoidoscopy suggestive of colon polyps include visual detection of an outgrowth.
- Flexible sigmoidoscopy might be performed for re-examination and follow-up.
- For screening, flexible sigmoidoscopy must be used every five years.
- Capsule endoscopy may be helpful in the diagnosis of familial adenomatous polyposis.[8]
- Findings on a capsule endoscopy suggestive of colon polyps include visual detection of an outgrowth.
- 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.
- They are used for surveillance of periampullary and duodenal 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.
- ↑ 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.