A Hyperplastic Polyp is Discovered on Flexible Sigmoidoscopy. Is a Full Colonoscopy Indicated?

Achkar, Edgar; Brandt, Lawrence; Rogers, Arvey
April 1990
American Journal of Gastroenterology;Apr1990, Vol. 85 Issue 4, p367
Academic Journal
Recommends a full colonoscopy when a hyper plastic polyp is discovered on flexible sigmoidoscopy. Key reason for ignoring the medical diagnosis of hyper plastic polyps; Correlation between hyper plastic polyps and neoplastic polyps; Questions asked in discussions of the management of small polyps discovered during screening sigmoidoscopy; Risk associated with having a small polyp in the proximal colon.


Related Articles

  • Synchronous polyps in patients with colorectal cancer. Demetriades, H.; Kanellos, I.; Blouhos, K.; Tsachalis, T.; Vasiliadis, K.; Pramateftakis, M.; Betsis, D. // Techniques in Coloproctology;Nov2004 Supplement 1, Vol. 8, ps72 

    Background The aim of this study is to underscore the incidence of synchronous polyps in patients with colorectal cancer and to emphasise the importance of their perioperative detection and management. Patients and methods Three hundred and seven patients underwent a potentially curative...

  • Clinical predictors of colorectal polyps and carcinoma in a low prevalence region: Results of a colonoscopy based study. Bafandeh, Yousef; Khoshbaten, Manoochehr; Sadat, Amir Taher Eftekhar; Farhang, Sara; Spring, Kevin John // World Journal of Gastroenterology;3/14/2008, Vol. 14 Issue 10, p1534 

    AIM: To estimate the prevalence of colorectal cancer (CRC) in patients with long lasting colonic symptoms undergoing total colonoscopy; and to establish clinical features predicting its occurrence. METHODS: This prospective study was carried out in Imam Hospital, Tabriz University of medical...

  • Endoscopic Removal of Inflammatory Fibroid Polyps of the Stomach. Tada, Shuji; Iida, Mitsuo; Yao, Takashi; Matsui, Toshiyuki; Kuwano, Yasuyuki; Hasuda, Shoichi; Fujishima, Masatoshi // American Journal of Gastroenterology;Sep1991, Vol. 86 Issue 9, p1247 

    Three cases of gastric inflammatory fibroid polyp removed by endoscopic polypectomy are reported. All lesions were located in the gastric antrum or prepyloric region, and their depth was restricted to the submucosa. The correct diagnosis was obtained, and the digestive symptoms disappeared after...

  • Metachronous Colon Cancer in Persons Who Have Had a Large Adenomatous Polyp. Otchy, Daniel P.; Ransohoff, David F.; Wolff, Bruce G.; Weaver, Amy; Ilstrup, Duane; Carlson, Harley; Kademacher, Diana // American Journal of Gastroenterology;Mar1996, Vol. 91 Issue 3, p448 

    Objective: To determine, among persons who have had a large colon polyp, the risk of subsequent colon cancer at a site distant from that polyp. Methods: Follow-up was done for 226 persons at the Mayo Clinic who had had a ≥1-cm polyp demonstrated on barium enema between 1965 and 1970 and...

  • Lectin Binding to Human Colonocytes Is Predictive of Colonic Neoplasia. Desilets, David J.; Davis, Kirk E.; Nair, Padmanabhan P.; Salata, Katman F.; Maydonovitch, Corinne L.; Howard, Robin S.; Kikendall, James W.; Wong, Roy K. H. // American Journal of Gastroenterology;Mar1999, Vol. 94 Issue 3, p744 

    OBJECTIVE: The aim of this study was to determine whether lectin binding to exfoliated human colonocytes could be used as a noninvasive test for colorectal polyps or cancer. METHODS: Colonocytes were harvested from 31 patients (10 controls, 10 with adenomatous polyps, and 11 with cancer),...

  • Large genomic deletions of SMAD4, BMPR1A and PTEN in juvenile polyposis. Van Hattem, W. A.; Brosens, L. A. A.; De Leng, W. W. J.; Morsink, F. H.; Lens, S.; Carvalho, R.; Giardiello, F. M.; Offerhaus, G. J. A. // Gut;May2008, Vol. 57 Issue 5, p623 

    BACKGROUND/AIMS: Juvenile polyposis syndrome (JPS) is a rare autosomal dominant disorder characterised by multiple gastrointestinal juvenile polyps and an increased risk of colorectal cancer. This syndrome is caused by germline mutation of either SMAD4 or BMPR1A, and possibly ENG. PTEN,...

  • Screening colonoscopy in the asymptomatic 50- to 59-year-old population. Mehran, A.; Jaffe, P.; Efron, J.; Vernavay, A.; Liberman, A.; Vernava, A // Surgical Endoscopy;Dec2003, Vol. 17 Issue 12, p1974 

    Background: In an effort to decrease the death rate from colorectal cancer, a multitude of medical societies and task forces recommend routine screening for colorectal cancer beginning at age 50. Yet, there is no consensus as to the best and most cost-effective screening method....

  • The Changing Pattern of Juvenile Polyps. Mestre, Jose R. // American Journal of Gastroenterology;May1986, Vol. 81 Issue 5, p312 

    The juvenile polyp, the most common tumor of the colon in children, is considered to be benign with no potential for malignancy. This review reveals a changing spectrum of findings; 53% of the patients have multiple polyps and 60% of the polyps are found proximal to the sigmoid colon. Recent...

  • Colonic Polyps: Experience of 236 Indian Children. Poddar, Ujjal; Thapa, B. R.; Vaiphei, Kim; Singh, Kartar // American Journal of Gastroenterology;Apr1998, Vol. 93 Issue 4, p619 

    Objectives: We studied the clinical spectrum, histology, and malignant potential of colonic polyps in Indian children (≤ 12 yr). Methods: Two hundred thirty-six children with colonic polyps were studied from January 1991 to October 1996. They were evaluated clinically and colonoscopic...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics