colorectal polyp

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Introduction

Grossly visible protrusion from the colonic mucosal surface.

Classification

Etiology

Pathology

* hyperplastic polyps may be associated with colorectal cancers that show microsatellite instability[3]

Clinical manifestations

  • most polyps produce no symptoms

Laboratory

Complications

Management

* criteria for juvenile polyposis coli:

More general terms

More specific terms

Additional terms

References

  1. Harrison's Principles of Internal Medicine, 13th ed. Isselbacher et al (eds), McGraw-Hill Inc. NY, 1994, pg 1426
  2. Jump up to: 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 Medical Knowledge Self Assessment Program (MKSAP) 11, 14, 16, 17, 18, 19. American College of Physicians, Philadelphia 1998, 2006, 2012, 2015, 2018, 2021.
  3. Jump up to: 3.0 3.1 Journal Watch 21(19):151, 2001 Hawkins NJ, Ward RL. Sporadic colorectal cancers with microsatellite instability and their possible origin in hyperplastic polyps and serrated adenomas. J Natl Cancer Inst 93:1307, 2001 PMID: https://www.ncbi.nlm.nih.gov/pubmed/11535705
  4. Martinez ME et al One-Year Risk for Advanced Colorectal Neoplasia: U.S. Versus U.K. Risk-Stratification Guidelines Ann Intern Med. 18 December 2012;157(12):856-864 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/23247939 <Internet> http://annals.org/article.aspx?articleid=1485310
  5. East JE, Saunders BP, Jass JR. Sporadic and syndromic hyperplastic polyps and serrated adenomas of the colon: classification, molecular genetics, natural history, and clinical management. Gastroenterol Clin North Am. 2008 Mar;37(1):25-46, v PMID: https://www.ncbi.nlm.nih.gov/pubmed/18313538
  6. Miller HL, Mukherjee R, Tian J, Nagar AB. Colonoscopy surveillance after polypectomy may be extended beyond five years. J Clin Gastroenterol. 2010 Sep;44(8):e162-6. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20628313
  7. Rapuri S, Spencer J, Eckels D. Importance of postpolypectomy surveillance and postpolypectomy compliance to follow-up screening--review of literature. Int J Colorectal Dis. 2008 May;23(5):453-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/18193238
  8. Lieberman DA, Rex DK, Winawer SJ et al Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2012 Sep;143(3):844-57 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22763141 (corresponding NGC guideline withdrawn Feb 2018)
  9. Jump up to: 9.0 9.1 He X, Hang D, Wu K et al. Long-term risk of colorectal cancer after removal of conventional adenomas and serrated polyps. Gastroenterology 2019 Jul 11 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31302144 https://www.gastrojournal.org/article/S0016-5085(19)41086-X/pdf
  10. Jump up to: 10.0 10.1 Ma C, Teriaky A, Sheh S, et al. Morbidity and mortality after surgery for nonmalignant colorectal polyps: A 10-year nationwide analysis. Am J Gastroenterol 2019 Oct 11; PMID: https://www.ncbi.nlm.nih.gov/pubmed/31634261
  11. Jump up to: 11.0 11.1 Emilsson L, Bozorg SR et al Risk of colorectal cancer incidence and mortality after polypectomy: a Swedish record-linkage study. Lancet Gastroenterol Hepatol. 2020 Mar 16. PMID: https://www.ncbi.nlm.nih.gov/pubmed/32192628 Free Article
    Meester RGS, Ladabaum U Sessile serrated polyps and colorectal cancer mortality. Gastroenterology. 2020 Mar 18. PMID: https://www.ncbi.nlm.nih.gov/pubmed/32199884

Patient information

colorectal polyp patient information