Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presencia de factores de riesgo
- antecedentes familiares
Otros factores de diagnóstico
- sangrado rectal
- descarga de moco
- pérdida de peso
- tenesmo
- cambio en el ritmo intestinal
- síntomas y signos de anemia
Factores de riesgo
- mayor edad
- antecedentes familiares de cáncer colorrectal o pólipos colorrectales
- antecedentes previos de pólipos
- sexo masculino
- acromegalia
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- colonoscopia
- colonografía por tomografía computarizada (TC)
- cromoendoscopia
- histología
Pruebas emergentes
- técnicas de cromoendoscopia virtual
- colonoscopia asistida por inteligencia artificial
- cápsula endoscópica
Algoritmo de tratamiento
Colaboradores
Autores
Edward T. Pring, FRCS, PhD
Post CCT Fellow
St Mark’s the National Bowel Hospital
London
UK
Divulgaciones
ETP declares that he has no competing interests.
Jason Rai, MRCS, MMedEd
General Surgery Specialty Registrar
Oxford Deanery
Clinical Research Fellow
St Mark’s the National Bowel Hospital
London
UK
Divulgaciones
JR declares that he has no competing interests.
Allison Wallace, MRCS, MSc
General Surgery Specialty Registrar
Oxford Deanery
Clinical Research Fellow
St Mark’s the National Bowel Hospital
London
UK
Divulgaciones
AW declares that she has no competing interests.
Laura E. Gould, MRCS
General Surgery Specialty Registrar
North East and Central London Deanery
Clinical Research Fellow
St Mark’s the National Bowel Hospital
London
UK
Divulgaciones
LG declares that she has no competing interests.
Dinh V. C. Mai, MRCS
General Surgery Specialty Registrar
Oxford Deanery
Clinical Research Fellow at St Mark’s the National Bowel Hospital
London
UK
Divulgaciones
DM declares that she has no competing interests.
Ioanna Drami, MRCS, MSc, BSc
General Surgery Specialty Registrar
North East and Central London Deanery
Clinical Research Fellow at St Mark’s the National Bowel Hospital
London
UK
Divulgaciones
ID declares that she has no competing interests.
John T. Jenkins, MD
Consultant Colorectal Surgeon
St Mark’s the National Bowel Hopital
London
UK
Divulgaciones
JTJ declares that he has no competing interests.
Agradecimientos
Mr Edward T. Pring, Mr Jason Rai, Miss Alison Wallace, Miss Laura E. Gould, Mr Dinh V. C. Mai, Miss Ioanna Drami and Mr John T. Jenkins would like to gratefully acknowledge Mr Phil Tozer and Mr George Malietzis previous contributors to this topic.
Divulgaciones
PT and GM declares that they have no competing interests.
Revisores por pares
John Anderson, FRCS
Consultant Colorectal Surgeon
Glasgow Royal Infirmary
Glasgow
UK
Divulgaciones
JA declares that he has no competing interests.
Sharon Stein, MD
Assistant Professor of Surgery
Division of Colon and Rectal Surgery
University Hospital Case Medical Center
Cleveland
OH
Divulgaciones
SS received a fee for educational courses on laparoscopic surgery, paid for in part by Covidien, Olympus, and Applied Medical.
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