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management screening colorectal comparison diagnosis testing tests bowel crohns guidelines hamartomatous ibs indications irritable lowrisk mild polyposis quality syndrome syndromes
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
Cancer + Uterine ... → Adenoma and cancer ... + CRC + Gastric ... Mutation in SMAD4 (aka ... diagnosis #management #gastroenterology
Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based tests: • FIT: 79% sensitivity, 94% specificity for CRC
for Colorectal Cancer ... visualization: • Colonoscopy ... specificity for polyps ... #colon #Screening ... Tests #comparison #table
ACA Colorectal Cancer Screening Guidelines When to Screen? When to Stop? Family History Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based
ACA Colorectal Cancer ... visualization: • Colonoscopy ... specificity for polyps ... Tests #comparison #table ... #management #gastroenterology
Management of Low Risk (Mild Severity) Crohns Disease Asymptomatic or Incidentally Discovered on Endoscopy •
Discovered on Endoscopy ... calprotectin, CRP ... thereafter • Repeat colonoscopy ... in 6 —12 months ... LowRisk #Mild #Gastroenterology
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines 1. Adequate bowel preparation. 2. Use
- AGA Guidelines ... look of the right colon ... 2mm in size. 12 ... Screening #quality #AGA ... Guidelines #management #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
risk • Routine colonoscopy ... red flags - Low chance ... things" → fewer polyps ... w/ T TG IgA & IgA ... lactoferrin + CRP
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