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Colorectal Polyps

  • Emily Huang
  • Michael F. McGeeEmail author
Chapter

Abstract

Adenomatous colon polyps are precursors to colon cancer, and colonoscopic polypectomy reduces both the incidence and mortality of colorectal cancer. Adequate bowel preparation, endoscopic irrigation, and meticulous suctioning permit thorough and complete mucosal evaluation to detect and treat all colonic neoplasia. This chapter details contemporary evaluation and management of adenomatous colon polyps discovered at colonoscopy.

Keywords

Colon polyp Adenomatous colon polyp Polypectomy Colon cancer Rectal cancer 

References

  1. 1.
    Zauber AG, Winawer SJ, O'Brien MJ, Lansdorp-Vogelaar I, van Ballegooijen M, Hankey BF, Shi W, Bond JH, Schapiro M, Panish JF, Stewart ET. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med. 2012;366(8):687–96.CrossRefGoogle Scholar
  2. 2.
    Inoue H, Kashida H, Kudo S, Sasako M, Shimoda T, Watanabe H, Yoshida S, Guelrud M, Lightdale CJ, Wang K, Riddell RH. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc. 2003;58(6 Suppl):S3–43.Google Scholar
  3. 3.
    Galandiuk S, Fazio VW, Jagelman DG, Lavery IC, Weakley FA, Petras RE, Badhwar K, McGonagle B, Eastin K, Sutton T. Villous and tubulovillous adenomas of the colon and rectum: a retrospective review, 1964–1985. Am J Surg. 1987;153(1):41–7.CrossRefGoogle Scholar
  4. 4.
    Doniec JM, Löhnert MS, Schniewind B, Bokelmann F, Kremer B, Grimm H. Endoscopic removal of large colorectal polyps. Dis Colon Rectum. 2003;46(3):340–8.CrossRefGoogle Scholar
  5. 5.
    Moss A, Bourke MJ, Williams SJ, Hourigan LF, Brown G, Tam W, Singh R, Zanati S, Chen RY, Byth K. Endoscopic mucosal resection outcomes and prediction of submucosal cancer from advanced colonic mucosal neoplasia. Gastroenterology. 2011;140(7):1909–18.CrossRefGoogle Scholar
  6. 6.
    Efthymiou M, Taylor A, Desmond P, Allen B, Chen R. Biopsy forceps is inadequate for the resection of diminutive polyps. Endoscopy. 2011;43(4):312–6.CrossRefGoogle Scholar
  7. 7.
    Lieberman D, Rex D, Winawer S, Giardiello F, Johnson D, Levin T. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on colorectal cancer. Gastroenterology. 2012;143(3):844–57.CrossRefGoogle Scholar
  8. 8.
    Haggitt R, Glotzbach R, Soffer E, Wruble L. Prognostic factors in colorectal carcinomas arising in adenomas: implications for lesions removed by endoscopic polypectomy. Gastroenterology. 1985;89:328–36.CrossRefGoogle Scholar
  9. 9.
    Kikuchi R, Takano M, Takagi K, Fujimoto R, Nozaki T, Fujiyoshi T, Uchida Y. Management of early invasive colorectal cancer. Risk of recurrence and clinical guidelines. Dis Colon Rectum. 1995;38(12):1286–95.CrossRefGoogle Scholar
  10. 10.
    Resch A, Langner C. Risk assessment in early colorectal cancer: histological and molecular markers. Dig Dis. 2015;33(1):77–85.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of ChicagoChicagoUSA
  2. 2.Department of SurgeryNorthwestern Memorial HospitalChicagoUSA

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