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Colonic Polyps

Marcelle Meseeha, MD and Maximos Attia, MD, FAAFP Reviewed 06/2020
 


BASICS

DESCRIPTION

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

  • Generally slow growing with low malignant potential; due to high prevalence in population, ho...

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, result...

TREATMENT

SURGERY/OTHER PROCEDURES

  • Colonic polypectomy; diagnostic, therapeutic:

    • Snare polypectomy with electrocautery for pedunculated polyps

    • Endoscopic mucosal resection for sessile polyps

    • Endoscopic su...

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
Von Renteln D, Bouin M, Barkun AN. Current standards and new developments of colorectal polyp management and resection techniques. Expert Rev Gastroenterol Hepatol.  2017;11(9):835–84...

ADDITIONAL READING

  • Cooper K, Squires H, Carroll C, et al. Chemoprevention of colorectal cancer: systematic review and economic evaluation. Health Technol Assess.  2010;14(32):1–206.

  • Rex DK, Boland...

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 for diagnosing polyps.

  • Biopsy small hyperplastic polyps to differentiate adenomatous and serrated polyps.

  • Use of NSAIDs and calcium is associated with de...

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