logo BDSP

Base documentaire


  1. Rational approach to small polyps found on sigmoidoscopy.

    Article - En anglais

    Most colorectal cancers are thought to develop from benign adenomas.

    Because adenomas are found in a large proportion of asymptomatic individuals, most adenomas must remain benign.

    Current guidelines suggest that colonoscopy is not necessary when hyperplastic polyps are found at screening sigmoidoscopy.

    Existing data suggest that small adenomatous polyps may also not be associated with substantial risk of current or future malignancy.

    We suggest that small polyps seen on flexible sigmoidoscopy require neither biopsy nor subsequent colonoscopy.

    Such an approach requires further study, but could result in substantial cost savings, with modest risk to patients.

    Mots-clés Pascal : Polypose, Côlon, Petite dimension, Exploration clinique, Endoscopie, Sigmoïdoscopie, Transformation maligne, Facteur risque, Dépistage, Analyse avantage coût, Analyse décision, Homme, Appareil digestif pathologie, Intestin pathologie, Tumeur bénigne, Tumeur maligne

    Mots-clés Pascal anglais : Polyposis, Colon, Small dimension, Clinical investigation, Endoscopy, Sigmoidoscopy, Malignant transformation, Risk factor, Medical screening, Cost benefit analysis, Decision analysis, Human, Digestive diseases, Intestinal disease, Benign neoplasm, Malignant tumor

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0409196

    Code Inist : 002B13B01. Création : 01/03/1996.