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diagnosis gastroenterology management differential algorithm causes colonoscopy clinical polyps colorectal obgyn colon endoscopy neurology obstetrics resection classification endoscopic guidelines pathophysiology
Polyp Incidence on Colonoscopy Tubular adenoma - 47.2% Hyperplastic polyp - 16.0% Tubulovillous adenoma - 17.6% Normal - 5.6% Inflammatory polyp
Polyp Incidence ... Hyperplastic polyp ... Inflammatory polyp ... Other - 2.0% Sessile ... Adenocarcinoma in polyp
Risk of Residual Cancer after Endoscopy Resection of Malignant Polyps Risk Criteria: • Resection margin < 1mm
Resection of Malignant Polyps ... Haggitt 4 ++++ • Sessile ... Kikuchi 2 ++ • Sessile ... drkeithsiau #Malignant #Polyp
Haggitt Classification of depth of invasion in malignant pedunculated and sessile polyps Level 1 - confined to
pedunculated and sessile ... polyps Level 1 ... the head of the polyp ... Classification #polyp
Serrated Polyps Hyperplastic polyps (HPs): • Prevalence: 20-30% • Size: Usually small or diminutive (s 5mm) •
Serrated Polyps ... Hyperplastic polyps ... 70%-80% distal Sessile ... Flat (45%) or sessile ... #Serrated #Polyps
Kikuchi Classification of depth of invasion into the submucosa of a malignant Sessile Polyp Sm1 - invasion
of a malignant Sessile ... Polyp Sm1 - invasion ... Classification #Sessile ... #Polyp #diagnosis
Paris classification of colorectal polyps Raised: • 1p Pedunculated • 1sp Sub-pedunculated • 1s Sessile Flat: •
of colorectal polyps ... Sub-pedunculated • 1s Sessile ... classification #colorectal #polyps
Fundic gland polyps on Endoscopy 46 yo F. with hx of 8 months of abdominal pain with
Fundic gland polyps ... Fundic gland polyps ... transparent & sessile ... , FAP multiple polyps ... Fundic #gland #polyps
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 Colonoscopy Followup Intervals 10 years: Normal colonoscopy, ≥ 20 HP < 10mm 7-10 years: 1-2 adenomas <
adenomas SSPs: Sessile ... serrated polyps
Colorectal Lesions - JNET Classification Type 1: - Vessel pattern: Invisible - Surface pattern: Regular dark or
: Hyperplastic polyp ... / Sessile serrated ... polyp Type 2A:
Colorectal Cancer Screening and Polyp Surveillance Intervals Colon Cancer Screening - Modality - Interval: • Colonoscopy -
Screening and Polyp ... Capsule - q5 years Polyp ... • Adenomatous Polyps ... • Serrated Polyps ... Cancer #Screening #Polyp
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