Colorectal polyp

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Colorectal polyp
Colorectal polyp
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Often asymptomatic, but may include rectal bleeding, abdominal pain, and changes in bowel habits
Complications	Colorectal cancer
Onset	Varies, often detected in adults over 50
Duration	Can be persistent if not removed
Types	Adenomatous polyp, Hyperplastic polyp, Inflammatory polyp
Causes	Genetic factors, lifestyle factors (diet, smoking, alcohol)
Risks	Age, family history, inflammatory bowel disease
Diagnosis	Colonoscopy, sigmoidoscopy, CT colonography
Differential diagnosis	N/A
Prevention	Regular screening, healthy diet, avoiding smoking and excessive alcohol
Treatment	Polypectomy, endoscopic mucosal resection
Medication	N/A
Prognosis	Good if detected early; risk of cancer if untreated
Frequency	Common, especially in older adults
Deaths	N/A

Colorectal Polyps: Types, Risks, and Management

Endoscopic view of Colorectal Polyps

Colorectal polyps are fleshy growths that occur on the lining of the colon or rectum. These polyps are significant in medical diagnosis and treatment due to their potential to develop into colorectal cancer if left untreated.

Definition and Types

Colorectal polyps are growths that protrude from the mucous membrane of the colon or rectum. They vary in type, with some being benign, while others have the potential to become malignant. Common types include:

• Hyperplastic polyps: Generally benign
• Adenomatous polyps: Can be pre-malignant
• Colorectal adenocarcinoma: Malignant form

Causes and Risk Factors

Microscopic view of a colorectal polyp

The exact causes of colorectal polyps are not fully understood, but risk factors include age, family history, genetic disorders, diet, and lifestyle factors. Inflammatory bowel disease (IBD) can also increase the risk.

Symptoms and Diagnosis

Many colorectal polyps do not cause symptoms and are often found incidentally during screening tests such as colonoscopy. When symptoms occur, they may include rectal bleeding, changes in bowel habits, and abdominal pain.

Screening and Detection

Regular screening is crucial for early detection and prevention of colorectal cancer, especially in individuals over 50 or those with risk factors. Screening methods include colonoscopy, sigmoidoscopy, and stool-based tests.

Treatment and Management

Treatment depends on the type, size, and number of polyps. Options include polypectomy (removal of polyps) during a colonoscopy, and in some cases, more extensive surgery. Regular follow-up is essential for individuals with a history of polyps.

Prevention

Preventive measures include a healthy diet, regular exercise, maintaining a healthy weight, and avoiding smoking and excessive alcohol consumption. Genetic counseling may be recommended for individuals with a family history of colorectal polyps or cancer.

Epidemiology and Public Health

Colorectal polyps are a significant public health concern due to their prevalence and potential to develop into colorectal cancer, one of the leading causes of cancer death worldwide.

See Also

• Colorectal cancer
• Endoscopy
• Inflammatory bowel disease

External Links

• CDC - Colorectal Cancer Prevention
• American Gastroenterological Association - Patient Information on Colorectal Polyps

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