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Colonic Polyps

Marcelle Meseeha, MD and Maximos Attia, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Intraluminal colonic tissue growth; most commonly sporadic or part of polyposis syndromes

  • Size classification:

    • Diminutive ≤5 mm, small 6 to 9 mm, large ≥10 mm

  • Morphologic classificati...

DIAGNOSIS

HISTORY

  • Generally asymptomatic

  • Painless rectal bleeding, bright or dark red, mixed with stools, dripping, or on wiping

  • Diarrhea or mucous stool

  • Abdominal pain

  • Constipation

  • Chronic bleeding resulti...

TREATMENT

SURGERY/OTHER PROCEDURES

  • Colonic polypectomy; diagnostic, therapeutic:

    • Snare polypectomy with electrocautery for pedunculated polyps

    • Endoscopic mucosal resection for sessile polyps

    • Endoscopic ...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Follow-up colonoscopy in: 
  • 10 years if no polyps or distal small hyperplastic polyps (<10 mm) (5)[B]

  • 5 to 10 years if 1 to 2 small tubular adenomas (<10 mm) (...

REFERENCES

1
1 Wanders LK, East JE, Uitentuis SE, et al. Diagnostic performance of narrowed spectrum endoscopy, autofluorescence imaging, and confocal laser endomicroscopy for optical diagnosis of colo...

ADDITIONAL READING

  • Ashraf I, Paracha SR, Arif M, et al. Digital rectal examination versus spontaneous passage of stool for fecal occult blood testing. South Med J.  2012;105(7):357–361. {L-End} ...

SEE ALSO

Colon Cancer; Rectal Cancer 

CODES

ICD10

  • K63.5 Polyp of colon

  • D12.6 Benign neoplasm of colon, unspecified

  • K51.40 Inflammatory polyps of colon without complications

  • D12.5 Benign neoplasm of sigmoid colon

  • D12.2 Benign neoplasm of ascend...

CLINICAL PEARLS

  • Colonoscopy is the gold standard tool for diagnosis of polyps.

  • Small hyperplastic polyps should be biopsied to differentiate adenomatous and serrated polyps.

  • Use of NSAIDs and calcium is...

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