Guidelines for completion colonoscopy after polyps are found at flexible sigmoidoscopy for investigation of haemorrhoidal-type rectal bleeding
| Autor: | Brian Cox, Francis Antony Frizelle, Philip F Bagshaw, James M. Church |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Gastrointestinal bleeding Adenoma medicine.diagnostic_test business.industry General surgery Gastroenterology Rectum Sigmoid colon Cancer Colonoscopy Sigmoidoscopy medicine.disease digestive system diseases 03 medical and health sciences 030104 developmental biology 0302 clinical medicine medicine.anatomical_structure medicine Colonoscopic Polypectomy 030211 gastroenterology & hepatology business |
| Zdroj: | Gut. :gutjnl-2020 |
| ISSN: | 1468-3288 0017-5749 |
| Popis: | We read with interest the paper by Rutter et al on surveillance guidelines after colonoscopic polypectomy and postcolorectal cancer resection.1 However, like all similar recognised guidelines, they do not address the issue of following up polyps found on a flexible sigmoidoscopy (FS) done to investigate rectal bleeding. With colonoscopy services in short supply in many countries, FS is often used at rectal bleeding clinics in cases where other known personal risk factors for colorectal neoplasia are absent. At FS, the finding of a normal rectum and sigmoid combined with a likely anal cause of the bleeding excludes significant left-sided neoplasia. However, the appropriate follow-up of an adenoma found in the rectum or sigmoid colon has been a topic of much study and debate, centred on the likelihood of detecting significant proximal colonic neoplasia. One of the most … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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