Adenomatous Polyps of the Colon

@article{Levine2006AdenomatousPO,
  title={Adenomatous Polyps of the Colon},
  author={Joel S. Levine and Dennis J. Ahnen},
  journal={The New England Journal of Medicine},
  year={2006},
  volume={355},
  pages={2551-2557}
}
  • J. Levine, D. Ahnen
  • Published 14 December 2006
  • Medicine
  • The New England Journal of Medicine
A 52-year-old man with no personal or family history of colon cancer, colonic polyps, or inflammatory bowel disease underwent a screening colonoscopy that showed no abnormalities except for a 1.5-cm pedunculated polyp at the hepatic flexure that was removed by means of a snare with cautery. The polyp was a tubulovillous adenoma without high-grade dysplasia. How should his care be managed? 
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Patients with left-sided colon polyps had a high risk of developing colorectal polyp recurrence and the risk ofDeveloping CRC increased in patients who had advanced histology, a polyp larger than 10 mm, or more than three polyps.
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Current guidelines relative to risk stratifying the populations offered the test; the onset, interval, and discontinuation of testing; and the important role of operator variability in outcome are examined.
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References

SHOWING 1-10 OF 53 REFERENCES
Serrated polyps of the large intestine: a morphologic and molecular review of an evolving concept.
TLDR
The morphologic and molecular evidence for the concept of various polyps in the general category of serrated polyps of the large intestine, in particular the lesion known as the sessile serrated adenoma, is reviewed, and a conceptual framework for diagnosis of these lesions is provided.
Growth of colorectal polyps: redetection and evaluation of unresected polyps for a period of three years.
TLDR
The results show that follow up of unresected colorectal polyps up to 9 mm is safe, and the consistency of growth retardation of medium sized polyps suggests extended intervals between the endoscopic follow up examinations, but the increased number of new polyps in the proximal colon indicates total colonoscopy as the examination of choice.
Epidemiology of polyps in the rectum and colon. Recovery and evaluation of unresected polyps 2 years after detection.
TLDR
It is concluded that the time interval between initial examination with removal of polyps 5 mm or larger in diameter and the first follow-up examination may safely be set at 2 years.
Does colonoscopic polypectomy reduce the incidence of colorectal carcinoma?
TLDR
Records of all patients who underwent colonoscopic polypectomy by a single surgeon between 1974 and 1991 were reviewed and analysis suggests colonoscopic Polypectomy does reduce the incidence of colorectal cancer.
Natural history of colorectal polyps and the effect of polypectomy on occurrence of subsequent cancer
TLDR
An increased risk of developing cancer among polyp patients and the possibility of prophylactic effect of polypectomy against subsequent cancer are suggested.
Long-term risk of colorectal cancer after excision of rectosigmoid adenomas.
TLDR
The long-term risk of colorectal cancer after rigid-instrument sigmoidoscopy and polypectomy in 1618 patients with rectosigmoid adenomas who did not undergo surveillance was assessed, finding that surveillance may not be of value because the risk of cancer is so low.
Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps. The National Polyp Study Workgroup.
TLDR
Colonoscopy performed three years after colonoscopic removal of adenomatous polyps detects important colonic lesions as effectively as follow-up colonoscopy after both one and three years.
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