Colonic Inertia
Colon polyps are growths that develop in the colon or rectum. Their cause is still unknown. Most polyps are benign.
A certain type of colorectal polyps can be runners. Therefore, regular screening is very important in people over 50
or those with increased risk of colorectal cancer and Colonic Inertia.
Symptoms
Colon polyps are asymptomatic, usually occurring only when symptoms were larger than 1 cm or when the nature
of cancer or Colonic Inertia. The most common symptom is rectoragia (removal of red blood in stool). Sometimes
bleeding is not seen with the naked eye, the occult, depistandu the only screening test using a stool called occult
bleeding in the stool test.
Colon polyps usually do not cause pain or changes in bowel habits, unless they are large and obstrueaza part of
the colon. These symptoms are rare because polyps are found and removed before they become large enough to
produce symptoms.
Once the cancer or Colonic Inertia appears, other symptoms may occur such as changes in bowel habits or
significant weight loss.
Investigation
The only way to find colon polyps, unless when they are large and cause pain and bleeding, is to perform one or
more investigations of colon mucosa.
You can use several tests to determine colon polyps. Two of these, lighted flexible tube colonoscopy can be used to
harvest and tissue biopsy (tissue sample) or to remove polyps. All tests are used to sceeningul polyps or colon
cancer and are followed by other tests after the polyps have been removed.
These investigations are:
- Tests for occult bleeding in the stool. This is done for the discovery of microscopic amounts of blood in the stool. It
is a simple test to perform, has a low cost and is used for diagnosis of colorectal polyps or cancer. Studies have
shown that it decreased the number of deaths from colon cancer. By itself, this test can not diagnose polyps
certainty or colorectal cancer and a negative test does not rule out the presence of colorectal cancer. If positive
(blood in stool), a colonoscopy is to identify why bleeding and eventual removal of polyps.
- Sigmoidoscopy with flexible tube. This allows the doctor to observe the surface of the colon located in the lower
third. During a sigmoidoscopy can yield growths of tissue samples (biopsy pieces), and sometimes can be
precancerous or cancerous growths removed. Although a sigmoidoscopy does not see the entire colon, a study
showed that this combined with a test for occult bleeding, can detect 76% of polyps and advanced forms of cancer.
- Colonoscopy. This screening method allows the doctor to inspect the entire colon for polyps or cancer forms.
During colonoscopy, samples are obtained from any knob present (biopsy) and sometimes of precancerous or
cancerous tissue, which can remove this way. We recommend a colonoscopy every 10 years since the age of 50
years in people at average risk of developing colon cancer and other cases when a positive screening test for colon
polyps or cancer. Colonoscopy is recommended from the age of 40 years if there is a family history of colorectal
cancer in first-degree relatives aged up to 60 years every 5 years after removal of one or more polyps, every 1-2
years in people 20-25 years who have a history of colorectal cancer syndrome transmission family.
- Double-contrast barium enema (irigografie). This examination Radiographic examination is a method of the large
intestine. This double contrast barium irigografie can be used as screening for colon cancer that detects polyps
throughout the colon. Perhaps more accurately detect polyps or cancer but increase bleeding occult test stool
examination combined with flexible sigmoidoscopy. Irigografia is not as definite as colonoscopy. Barite enema
detects 83% of precancerous polyps (adenomatous) greater than 1 cm, compared with 95% diagnosis made by
colonoscopy. Irigografia can not visualize small polyps can be confusing pieces of chair does not allow removal of
polyps and pieces of biopic or removal of polyps.
Research is for other colon cancer detection methods, including genetic testing and virtual colonoscopy, which is a
noninvasive screening method that uses computed tomography (CT) to visualize the colon.
Screening
Screening for colon cancer
Screening test performed one or more tests combined reduced the risk of complications and death from colon
cancer. Expert groups recommend routine colon cancer screening to all people aged over 50 who are at average
risk of colon cancer. These people do not have a family history of colon cancer or polyps, or polyps had colon
cancer and colon cancer have no symptoms.
Screening test options:
- Test for occult bleeding in stool
- Flexible sigmoioscopia every 5 years
- Test for occult bleeding and associated flexible tube sigmoidoscopy every 5 years
- Double-contrast barium irigografia every 5 years
- Colonoscopy every 10 years.
If there is an increased risk of developing colon cancer screening begins earlier or more often do. If there is family
history of colon cancer begin investigations at the age of 40 years or to age 10 years lower than the nearest family
member with this disease.
If there is a family history of inheritance of the disease (familial colonic polyposis syndrome) screening tests to
begin at puberty or the age of 21 years, depending on existing syndrome.
The decision about when screening should be taken in collaboration with the physician. Decisions depend on age,
family history, associated diseases and other benefits from screening.
Treatment
Treatment - General
Colon polyps are usually removed during a screening examination by flexible sigmoidoscopy or colonoscopy tube.
Test harvesters (biopsied) is examined to determine if a form or a noncancerous precancerous (adenomatous).
Initial treatment
If you discover during sigmoidoscopy adenomatous polyps, a colonoscopy will be done and to examine and remove
potential colon polyps in the rest.
Most polyps are not malignizeaza. If you discover during hyperplastic polyps sigmoidoscopy and colonoscopy is not
necessary. Continue regular screening only if there is a risk of colon cancer due to family history for the disease or
familial colonic polyposis syndrome.
Rezecarii risk polyps during colonoscopy
Complications of colonoscopy are rare, but there is a low risk of:
- Perforation of the colon (less than 1 case per 1000) or severe bleeding by affecting colonic mucosa (more than 3
cases per 1000). Studies have shown that the risk of perforation of the colon during colonoscopy has declined in
recent years
- Bleeding due to polyp rezecarea
- Complications used sedatives given during surgery.
Maintenance treatment
Screening regularly for the detection of polyps is the best way to prevent their malignant degeneration. Persons
older than 50 years, they recommend a fecal occult stool test every year, a sigmoidoscopy every 5 years or both
tests. Other options are also screening double-contrast enema performed Barite 5 years or colonoscopy performed
at 10 years. Most polyps are put through these tests and resected during the investigation.
If more were resected colon polyps, a colonoscopy is recommended to carry out every couple of. They seek
medical advice.
Treatment if the condition gets worse
Surgery is necessary in case of large polyps, with a broad base of implantation (sessile) on colonic mucosa. They
can not be resected with safety margins during colonoscopy and are at higher risk of malignant degeneration
(cancerous). If the exam is diagnosed colon cancer, colorectal cancer will begin treatment.
Outpatient treatment (at home)
There is outpatient treatment for colon polyps.
But it can take measures to prevent the development of polyps:
- Be given calcium supplements. Studies have shown that calcium supplements reduce the risk of recurrence
(recurrence) by 17%. However, these studies have shown that calcium supplements have any effect on larger
polyps
- Taking anti-inflammatory drugs (NSAIDs) including aspirin. A recent study has shown that low doses of aspirin
(81mg/zi) moderately decreased risk of recurrence of precancerous polyps (adenomatous). NSAIDs have long term
side effects such as gastrointestinal bleeding, which can affect health. Should be provided to the physician to
prescribe or to high dose of NSAIDs, if necessary.
It is not known with certainty whether these methods can prevent colon polyps or colorectal cancer.
Some studies suggest that it may decrease the risk of these diseases, if they perform regular exercise to maintain a
constant body weight. Stopping smoking and moderate alcohol consumption may also decrease the risk of
colorectal cancer. Moderate consumption is defined by drinking a glass a day for women and two men.
These self-care methods are not a substitute for regular colorectal screening, especially in people over 50 or those
at high risk for colorectal cancer but these approaches reduce the risk of disease.
Diet
Studies on high-fiber diet
Most doctors felt that hipolipidica diet (low fat consumption) and rich in fiber helps prevent colon polyps and
colorectal cancer. Two major studies have found that such a diet does not decrease the risk of disease recurrence.
It is assumed that these studies have followed groups of the studied time long enough to see the benefits of such
diets. We need more studies. Meanwhile a diet low in fat and high in fiber may have other beneficial health effects
such as cardiovascular disease prevention.
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