Polipy jelita grubego
Charakterystyka, pielęgnacja i opieka

Polipy jelita grubego, zwłaszcza gruczolaki stanowiące około 90% wszystkich polipów, są powszechne u osób powyżej 50. roku życia i mogą ulegać transformacji nowotworowej, co podkreśla znaczenie wczesnej diagnostyki i usunięcia. Kolonoskopia pozostaje złotym standardem w wykrywaniu i usuwaniu polipów, umożliwiając jednoczesną polipektomię, która jest procedurą bezbolesną i bezpieczną, choć z rzadkimi powikłaniami takimi jak krwawienie (do 1/1000) i perforacja. Po usunięciu polipów konieczna jest analiza histopatologiczna w celu oceny kompletności resekcji, ryzyka nawrotu oraz obecności zmian nowotworowych. Regularne badania kontrolne, dostosowane do charakterystyki polipów i indywidualnego ryzyka pacjenta, są kluczowe, zwłaszcza że do 60% polipów może odrosnąć w ciągu 3 lat, a 30% pacjentów rozwija nowe zmiany.

Charakterystyka polipów jelita grubego

Polipy jelita grubego to małe narośla na wewnętrznej wyściółce okrężnicy (jelita grubego) lub odbytnicy. Większość polipów jelita grubego nie powoduje objawów i zostaje odkryta przypadkowo podczas badań przesiewowych.12 Chociaż przyczyna większości polipów jelita grubego nie jest znana, a większość osób, u których się one rozwijają, nie doświadcza żadnych problemów, niektóre rodzaje polipów mogą z czasem przekształcić się w raka.3

Polipy jelita grubego są powszechne, szczególnie u osób powyżej 50. roku życia, a ryzyko ich wystąpienia wzrasta z każdą dekadą życia.4 Część polipów to tzw. gruczolaki (adenomy), które stanowią około 90% wszystkich polipów jelita i występują u 15-20% populacji.5 Bez odpowiedniego leczenia, polipy gruczolakowate mogą przekształcić się w raka jelita grubego, dlatego ich wczesne wykrycie i usunięcie jest kluczowe.6

Diagnostyka polipów jelita grubego

Regularne badania przesiewowe są najlepszym sposobem na zapobieganie przekształceniu się polipów w raka jelita grubego.78 Badania przesiewowe mogą obejmować testy na krew utajoną w kale, sigmoidoskopię, kolonoskopię oraz kolonografię TK.9

Kolonoskopia jest złotym standardem w diagnostyce polipów jelita grubego, pozwalającym na dokładne zbadanie całego jelita grubego i na odnalezienie oraz usunięcie polipów podczas jednej procedury.10 Procedura ta wymaga odpowiedniego przygotowania jelit, aby zapewnić dobrą widoczność podczas badania. Po właściwym przygotowaniu, stolec powinien mieć postać przejrzystego płynu, lekko żółtawego lub zielonkawego, w zależności od spożytych płynów.11

W przypadku wykrycia polipów podczas kolonoskopii, są one zwykle natychmiast usuwane i wysyłane do laboratorium w celu analizy.12 Analiza ta pomaga określić, czy polipy zostały całkowicie usunięte, czy istnieje ryzyko ich odrastania oraz czy występują w nich zmiany nowotworowe.13

Usuwanie polipów

Większość polipów wykrytych podczas kolonoskopii może zostać usunięta natychmiast podczas tego samego badania.14 Proces usuwania polipów nazywa się polipektomią i zwykle przeprowadza się go za pomocą kolposkopu.15 Małe polipy można usunąć za pomocą instrumentu wprowadzonego przez kolonoskop, natomiast większe polipy usuwa się zazwyczaj poprzez założenie pętli wokół podstawy polipa i przecięcie go za pomocą kauteryzacji elektrycznej.16

Usuwanie polipów jest bezbolesne, ponieważ wyściółka okrężnicy nie ma zdolności odczuwania bólu. Dodatkowo przed kolonoskopią podaje się lek uspokajający, który zapobiega bólowi spowodowanemu rozciąganiem okrężnicy.17 Rzadko zdarza się, że polip jest zbyt duży do usunięcia podczas kolonoskopii, co oznacza, że konieczna będzie procedura chirurgiczna w późniejszym czasie.18

Po usunięciu, polipy wysyłane są do laboratorium w celu sprawdzenia, czy:19

  • Polip został całkowicie usunięty
  • Istnieje ryzyko ponownego wzrostu
  • W polipie występują zmiany nowotworowe

20

Powikłania polipektomii

Polipektomia jest bezpieczną procedurą, jednak wiąże się z pewnymi potencjalnymi zagrożeniami i powikłaniami. Najczęstszymi powikłaniami są krwawienie i perforacja (utworzenie dziury w okrężnicy). Na szczęście występują one rzadko (u jednego na 1000 pacjentów poddawanych kolonoskopii).21 Krwawienie można zwykle kontrolować podczas kolonoskopii poprzez kauteryzację (stosowanie ciepła) miejsca krwawienia, natomiast w przypadku perforacji czasami konieczna jest operacja.22

Usunięcie polipów powoduje ryzyko krwawienia, które może wystąpić natychmiast lub do 14 dni po zabiegu. Krwawienie to zazwyczaj ustaje samoistnie, ale bardzo rzadko wymaga kolejnej kolonoskopii lub transfuzji krwi.23

Pielęgnacja pacjenta z polipami jelita grubego

Opieka nad pacjentem z polipami jelita grubego obejmuje kilka kluczowych aspektów, w tym monitorowanie stanu pacjenta, edukację oraz regularne badania kontrolne.24

Monitorowanie stanu pacjenta

Po usunięciu polipów ważne jest monitorowanie stanu pacjenta pod kątem możliwych powikłań. Pacjent powinien natychmiast skontaktować się z lekarzem lub pielęgniarką, jeśli wystąpią następujące objawy:2526

  • Silny ból brzucha
  • Krew w stolcu lub czarne, smoliście stolce
  • Gorączka
  • Nudności lub wymioty
  • Zmiana w nawykach jelitowych (nowe zaparcia lub biegunka)
  • Zawroty głowy
  • Utrzymujące się krwawienie z odbytnicy
  • Osłabienie

27

Pacjenci z polipami jelita grubego powinni być zachęcani do spożywania pokarmów bogatych w błonnik, takich jak soczewica, pełne ziarna i owoce, aby ułatwić przechodzenie pokarmu przez jelita i zmniejszyć problemy związane z dysfunkcją motoryki przewodu pokarmowego.28

W przypadku biegunki, która może prowadzić do odwodnienia, ważne jest monitorowanie przyjmowania i wydalania płynów przez pacjenta, co pomaga kontrolować stan nawodnienia i zapobiegać odwodnieniu. W razie potrzeby można podawać leki przeciwbiegunkowe, aby złagodzić objawy.2930

Edukacja pacjenta

Edukacja pacjenta jest kluczowym elementem opieki nad osobami z polipami jelita grubego. Pacjenci powinni być poinformowani o:3132

  • Znaczeniu regularnych badań kontrolnych
  • Możliwych objawach powikłań
  • Zalecanych zmianach w stylu życia
  • Konieczności przestrzegania zaleceń dotyczących diety

Pacjenci powinni być świadomi, że polipy jelita mogą odrastać. Badania wskazują, że nawet 60% polipów może odrosnąć w ciągu trzech lat, a około 30% pacjentów, u których usunięto polipy, rozwija nowe. Z tego powodu ważne jest, aby omówić z zespołem medycznym potrzebę badań kontrolnych w ciągu pięciu lat po usunięciu polipów.33

Zalecenia dotyczące stylu życia

Pacjentom z polipami jelita grubego zaleca się wprowadzenie następujących zmian w stylu życia, które mogą pomóc w zapobieganiu rozwojowi nowych polipów:3435

  • Dieta niskotłuszczowa, bogata w owoce, warzywa i błonnik
  • Utrzymanie prawidłowej masy ciała
  • Unikanie palenia tytoniu
  • Unikanie nadmiernego spożycia alkoholu
  • Regularna aktywność fizyczna

Badania kontrolne i nadzór

Po usunięciu polipów jelita grubego pacjenci wymagają regularnej obserwacji i badań kontrolnych.36 Harmonogram badań kontrolnych zależy od kilku czynników:3738

  • Charakterystyki mikroskopowej polipa
  • Liczby i wielkości polipów
  • Możliwości zbadania całego jelita grubego podczas kolonoskopii
  • Jakości przygotowania jelit podczas kolonoskopii

U pacjentów, u których usunięto polipy gruczolakowate, istnieje zwiększone ryzyko rozwoju kolejnych polipów. Szansa na obecność gruczolaków w kontrolnej kolonoskopii przeprowadzonej trzy lata po początkowej polipektomii wynosi 25-30%. Niektóre z tych polipów mogły być obecne podczas pierwotnego badania, ale były zbyt małe, aby je wykryć, inne mogły się na nowo rozwinąć.39

Dla większości pacjentów, u których usunięto jeden polip podczas początkowej kolonoskopii, zwykle nie jest konieczny nadzór. Nadzór przeznaczony jest dla osób o wyższym ryzyku rozwoju kolejnych polipów, które mogą później rozwinąć się w raka jelita grubego. Celem jest spersonalizowanie nadzoru, zapewniając, że jest on zalecany osobom, które są narażone na ryzyko nowych polipów i powinny mieć przyszłe kolonoskopie nadzorcze.40

Zalecenia dotyczące badań kontrolnych

W przypadku osób, u których usunięto raka jelita grubego, zaleca się wykonanie kolonoskopii kontrolnej po roku od leczenia oraz kolejnej kolonoskopii nadzorczej po upływie kolejnych trzech lat.41

Warto zauważyć, że zwykle potrzeba co najmniej 10 lat, aby polip rozwinął się w polip wysokiego ryzyka lub raka. Chociaż kolonoskopia jest generalnie bezpieczną procedurą, ryzyko powikłań jest większe u osób powyżej 75. roku życia, więc ogólnie nie zaleca się kolonoskopii nadzorczej u osób powyżej tego wieku. Niemniej jednak, każdy pacjent powinien mieć możliwość omówienia swojego przypadku z lekarzem, aby wyważyć związane z tym ryzyko i potencjalne korzyści z kolejnej kolonoskopii.42

Nowe wytyczne są bardziej dostosowane do indywidualnego poziomu ryzyka pacjenta, ponieważ uwzględniają wiek pacjenta, a także liczbę i rodzaj polipów znalezionych podczas początkowej kolonoskopii.43

Znaczenie dla rodziny

Krewni pierwszego stopnia (rodzic, brat, siostra lub dziecko) osoby, u której zdiagnozowano polipa gruczolakowatego lub raka jelita grubego przed 60. rokiem życia, lub osoby z dwoma lub więcej krewnymi z rakiem jelita grubego w każdym wieku, mają zwiększone ryzyko rozwoju polipów gruczolakowatych i raka jelita grubego w porównaniu z ogólną populacją.44

Osoba, u której zdiagnozowano gruczolaka lub raka jelita grubego, powinna dzielić się tymi informacjami z członkami rodziny, a każda osoba powinna poznać historię raka w swojej rodzinie. Niektóre stany genetyczne, takie jak zespół Lyncha, mogą powodować również inne nowotwory.45

Chociaż badania przesiewowe w kierunku polipów i raka są zalecane dla wszystkich (zwykle począwszy od 45. roku życia), osoby o zwiększonym ryzyku powinny rozpocząć badania przesiewowe wcześniej. Najlepszy test do badań przesiewowych u osób o zwiększonym ryzyku raka nie jest znany, chociaż zwykle zaleca się czuły test (taki jak kolonoskopia).46

Na podstawie typowych wytycznych dotyczących badań przesiewowych u osób z rodzinnym wywiadem raka jelita grubego, krewnym można przekazać następujące informacje:47

  • Osoby, które mają jednego krewnego pierwszego stopnia (biologicznego rodzica, brata, siostrę lub dziecko) z rakiem jelita grubego lub zaawansowanym typem polipa gruczolakowatego w młodym wieku (przed 60. rokiem życia) lub dwóch krewnych pierwszego stopnia zdiagnozowanych w dowolnym wieku, powinny rozpocząć badania przesiewowe w kierunku raka jelita grubego wcześniej, zazwyczaj w wieku 40 lat lub 10 lat przed najwcześniejszą diagnozą w rodzinie, w zależności od tego, co nastąpi wcześniej. Badania przesiewowe zwykle obejmują kolonoskopię, którą należy powtarzać co pięć lat.
  • Osoby, które mają tylko krewnego drugiego stopnia (dziadka, ciotkę lub wuja) lub krewnego trzeciego stopnia (pradziadka lub kuzyna) z rakiem jelita grubego, powinny być badane w kierunku raka jelita grubego podobnie jak osoba o przeciętnym ryzyku.
  • Niektóre stany, takie jak dziedziczny niepolipowaty rak jelita grubego (zespół Lyncha), rodzinna polipowatość gruczolakowata, polipowatość związana z MUTYH i zapalne choroby jelit (np. wrzodziejące zapalenie jelita grubego, choroba Leśniowskiego-Crohna) znacznie zwiększają ryzyko polipów okrężnicy lub raka u członków rodziny.

48

Podsumowanie roli pielęgniarskiej

Pielęgniarki odgrywają kluczową rolę w opiece nad pacjentami z polipami jelita grubego, obejmującą:49

  • Edukację pacjenta i rodziny na temat przygotowania do kolonoskopii
  • Monitorowanie pacjenta podczas i po zabiegu
  • Rozpoznawanie potencjalnych powikłań i odpowiednie reagowanie
  • Edukację na temat zmian stylu życia i diety
  • Koordynację opieki i badań kontrolnych
  • Wsparcie psychologiczne dla pacjentów i ich rodzin

W przypadku pacjentów z kolostomią (gdzie okrężnica jest ponownie połączona z powierzchnią brzucha poprzez utworzenie stomii), pielęgniarka edukuje pacjenta i rodzinę, jak dbać o kolostomię. Jest to ważny aspekt opieki, który może pomóc w zachowaniu normalnej funkcji jelit.50

Pacjenci z rakiem jelita grubego często zapadają na nietypowe infekcje z powodu inwazji tkanek w pobliżu guza lub przejściowej bakteriemii pochodzącej z martwiczych guzów. Pielęgniarki muszą monitorować pacjentów pod kątem objawów infekcji i podejmować odpowiednie działania w przypadku ich wystąpienia.51

Interwencje pielęgniarskie i opieka są niezbędne dla powrotu pacjenta do zdrowia. Obejmują one monitorowanie stanu pacjenta, edukację na temat diety i stylu życia, a także wsparcie psychologiczne dla pacjentów i ich rodzin.52

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Bowel polyps | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/bowel-polyps/
    Bowel polyps are small growths on the inner lining of the colon (large bowel) or rectum. […] Bowel polyps are not usually cancerous, although if theyre discovered theyll need to be removed, as some will eventually turn into cancer if left untreated. […] Most people with polyps wont be aware of them as they produce no symptoms and are often discovered by accident. […] If polyps are found, a colonoscopy or CT colonography is needed to view the whole of the large bowel and remove any polyps. […] There are several methods for treating polyps, but the most common procedure involves snaring the polyp during a colonoscopy. […] After the polyp or polyps have been removed, they are sent to specialists in a laboratory, who will inform your consultant if: the polyp has been completely removed, there is any risk of it regrowing, there is any cancerous change in the polyp. […] Some people will need further colonoscopies because polyps can recur.
  • #2 Colon Polyps: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.colon-polyps-care-instructions.ut2896
    Colon polyps are growths in the colon or the rectum. The cause of most colon polyps is not known, and most people who get them do not have any problems. But a certain kind can turn into cancer. For this reason, regular testing for colon polyps is important for people as they get older. It is also important for anyone who has an increased risk for colon cancer. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Regular exams to look for colon polyps are the best way to prevent polyps from turning into colon cancer. These can include stool tests, sigmoidoscopy, colonoscopy, and CT colonography. Talk with your doctor about a testing schedule that is right for you.
  • #3 Colon polyps – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/colon-polyps/diagnosis-treatment/drc-20352881
    Our caring team of Mayo Clinic experts can help you with your colon polyps-related health concerns. […] A healthcare professional is likely to remove all polyps discovered during a bowel exam. Options for removal include: […] Polyps can be removed during colonoscopy using a few techniques. This process is called polypectomy. The removal of polyps prevents the opportunity for them to grow into colorectal cancer. […] If you have had an adenomatous polyp or a serrated lesion, you are at increased risk of colorectal cancer. The level of risk depends on the size, number and characteristics of the polyps that were removed. […] It’s very important to fully clean out your colon before a colonoscopy. If stool remains in the colon and blocks the view of the colon wall, you will likely need another colonoscopy sooner than usual to make sure all polyps are found.
  • #4 Colon Polyps and Aging: Special Considerations for Seniors | Unio Specialty Care Gastroenterology
    https://uniospecialtycare.com/resources/colon-polyps-and-aging-special-considerations-for-seniors/
    Most people who have colon polyps are 50+, and the risk for colon polyps continues to rise each passing decade. […] The prevalence of colon polyps increases significantly with age. With that being said, most people who have colon polyps are 50 or older, and the risk for colon polyps continues to rise each passing decade. […] For seniors, managing colon polyps can present unique challenges. Age-related factors such as multiple medications, the presence of other chronic conditions, and the general frailty associated with aging can complicate both the diagnosis and treatment process. Therefore, seniors must receive personalized care that considers their overall health status. […] Colon cancer screening procedures, such as colonoscopy, should be tailored to seniors’ overall health and preferences. This means taking into account their overall health status, potential risks, and personal preferences when deciding on the most appropriate screening method and schedule. […] The majority of colon polyps do not cause symptoms, making regular screenings crucial for early detection. Seniors should work with their healthcare providers to determine the appropriate screening schedule based on their individual risk factors.
  • #5 Gastroenterology – Bowel Polyps :: Northern Care Alliance
    https://www.northerncarealliance.nhs.uk/patient-information/patient-leaflets/gastroenterology-bowel-polyps?q=%2Fpatient-information%2Fpatient-leaflets%2Fgastroenterology-bowel-polyps
    Most polyps (90%) are called adenomas by medical professionals. They are very common (occurring in 15-20% of the population) and most of them are not cancerous. […] Polyps are generally removed at the time of your colonoscopy. There are several methods for doing this but the most common are as follows: […] Removing polyps causes a risk of bleeding, which can occur immediately or up to 14 days after the procedure. This generally stops on its own but very occasionally requires a further colonoscopy or a blood transfusion. […] An operation is occasionally needed to remove part of the bowel if the polyp is too large to be removed at colonoscopy by snaring or EMR, or there is concern that the polyp may be cancerous. […] Follow-up after polyp removal varies. but some people will require further colonoscopies because polyps can recur. Some bowel polyps run in families. This is uncommon, but if this condition is diagnosed, colonoscopy checks will be at regular intervals as advised in the national guidelines written by the British Society of Gastroenterology, the details of which are included in the references on the following page.
  • #6 Colon Polyps and Colon Cancer – Capital Digestive Care
    https://www.capitaldigestivecare.com/conditions/colon-polyps-and-colon-cancer/
    Removing polyps early eliminates the chance that colon cancer will develop from those polyps. […] By following the recommended guidelines for colon cancer screening, your doctor can find colon polyps and remove them before they become cancerous. […] If your doctor finds polyps during a colonoscopy or other procedure, they may remove them immediately and take tissue samples for analysis.
  • #7
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2896
    Colon polyps are growths in the colon or the rectum. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Regular exams to look for colon polyps are the best way to prevent polyps from turning into colon cancer. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have severe belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have a fever.
  • #8 Colon Polyps: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.colon-polyps-care-instructions.ut2896
    Colon polyps are growths in the colon or the rectum. The cause of most colon polyps is not known, and most people who get them do not have any problems. But a certain kind can turn into cancer. For this reason, regular testing for colon polyps is important for people as they get older. It is also important for anyone who has an increased risk for colon cancer. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Regular exams to look for colon polyps are the best way to prevent polyps from turning into colon cancer. These can include stool tests, sigmoidoscopy, colonoscopy, and CT colonography. Talk with your doctor about a testing schedule that is right for you.
  • #9 Colon Polyps: After Your Visit | South Denver GI
    https://southdenvergi.com/colon-polyps-after-your-visit/
    Colorectal polyps are growths in the colon or the rectum. The cause of most colon polyps is not known, and most people who get them do not have any problems. But a certain kind can turn into cancer. For this reason, regular testing for colorectal polyps is important for people age 50 and older and anyone who has an increased risk for colorectal cancer. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Regular exams to look for colon polyps are the best way to prevent polyps from turning into colorectal cancer. These can include a test for blood in the stool (fecal occult blood test), colonoscopy and sigmoidoscopy. Talk with your doctor about a testing schedule that is right for you.
  • #10 Everything About Colon Polyps: How Concerned Should You Be?
    https://www.drsamratjankar.com/everything-about-colon-polyps-how-concerned-should-you-be/
    Dr. Samrat Jankar emphasizes that while not all polyps are preventable, certain lifestyle changes can lower your risk: […] Get Regular Screenings: Colonoscopies are the gold standard for detecting and removing polyps before they become cancerous. […] If you have any concerns about colon polyps or want to schedule a screening, consult a gastroenterologist like Dr. Samrat Jankar at Kaizen Gastro Care.
  • #11 Colon polyps – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/colon-polyps/diagnosis-treatment/drc-20352881
    After a good colon preparation, bowel movements should appear as clear liquid. They may be slightly yellow or green-tinged, depending on any liquids consumed while preparing. If you experience trouble with your colon preparation or feel that you have not been fully cleaned out, you should tell the health professional before beginning your colonoscopy. Some people need additional steps before having a colonoscopy.
  • #12 Colon Polyps | WakeMed
    https://www.wakemed.org/care-and-services/gastroenterology/conditions-we-treat/colon-polyps
    Colon polyps are growths in the colon (or large intestine), most of which are not cancerous (benign). Having a colonoscopya test that looks at the inner lining of the colonhelps determine which polyps may be more likely to develop into colon cancer and should be removed for further investigation. […] Gastroenterologists and colorectal surgeons at WakeMed are highly experienced at screening patients for colon polyps and perform colonoscopies for thousands of patients every year. […] We also recommend regular screening for colon polyps if youre over 50 years old, or have a family history of colon cancer. […] Screening for colon polyps is generally done through a colonoscopy, which is an outpatient procedure. […] Colon polyps can usually be removed during the colonoscopy itself, by the gastroenterologist performing the procedure. The polyps may be sent for further testing to confirm whether they are benign or whether they need further investigation.
  • #13 Bowel polyps | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/bowel-polyps/
    Bowel polyps are small growths on the inner lining of the colon (large bowel) or rectum. […] Bowel polyps are not usually cancerous, although if theyre discovered theyll need to be removed, as some will eventually turn into cancer if left untreated. […] Most people with polyps wont be aware of them as they produce no symptoms and are often discovered by accident. […] If polyps are found, a colonoscopy or CT colonography is needed to view the whole of the large bowel and remove any polyps. […] There are several methods for treating polyps, but the most common procedure involves snaring the polyp during a colonoscopy. […] After the polyp or polyps have been removed, they are sent to specialists in a laboratory, who will inform your consultant if: the polyp has been completely removed, there is any risk of it regrowing, there is any cancerous change in the polyp. […] Some people will need further colonoscopies because polyps can recur.
  • #14 Everything About Colon Polyps: How Concerned Should You Be?
    https://www.drsamratjankar.com/everything-about-colon-polyps-how-concerned-should-you-be/
    Colon polyps are a common condition that many individuals may not even realize they have. […] Dr. Samrat Jankar is a highly experienced colorectal surgeon in Pune at Kaizen Gastro Care, specializing in the diagnosis and treatment of colon polyps and other gastrointestinal conditions. […] Colon polyps are small growths that form on the inner lining of the colon or rectum. […] Most polyps found during a colonoscopy can be removed immediately. […] The removal process is usually painless, and the polyps are sent for biopsy to determine if they are benign or cancerous. […] While most colon polyps are benign, some have the possibility to develop into colon cancer over time. […] Regular screening is crucial, especially for those over 50 or those with risk factors such as family history or inflammatory bowel disease.
  • #15 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    COLON POLYP REMOVAL […] Colorectal cancer is preventable if precancerous polyps (ie, adenomas) are detected and removed before they become malignant (cancerous). Over time, small polyps can change their structure and become cancerous. Polyps are usually removed when they are found on colonoscopy, which reduces the chance for that polyp to become cancerous. […] Procedure — The medical term for removing polyps is polypectomy. Most polypectomies can be performed through a colonoscope. Small polyps can be removed with an instrument that is inserted through the colonoscope. Larger polyps are usually removed by placing a noose, or snare, around the polyp base and burning through it with electric cautery. The cautery also helps to stop bleeding after the polyp is removed. […] Polyp removal is not painful because the lining of the colon does not have the ability to feel pain. In addition, a sedative medication given before the colonoscopy can prevent pain caused by stretching of the colon. Rarely, a polyp will be too large to remove during colonoscopy, which means that a surgical procedure will be needed at a later time.
  • #16 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    COLON POLYP REMOVAL […] Colorectal cancer is preventable if precancerous polyps (ie, adenomas) are detected and removed before they become malignant (cancerous). Over time, small polyps can change their structure and become cancerous. Polyps are usually removed when they are found on colonoscopy, which reduces the chance for that polyp to become cancerous. […] Procedure — The medical term for removing polyps is polypectomy. Most polypectomies can be performed through a colonoscope. Small polyps can be removed with an instrument that is inserted through the colonoscope. Larger polyps are usually removed by placing a noose, or snare, around the polyp base and burning through it with electric cautery. The cautery also helps to stop bleeding after the polyp is removed. […] Polyp removal is not painful because the lining of the colon does not have the ability to feel pain. In addition, a sedative medication given before the colonoscopy can prevent pain caused by stretching of the colon. Rarely, a polyp will be too large to remove during colonoscopy, which means that a surgical procedure will be needed at a later time.
  • #17 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    COLON POLYP REMOVAL […] Colorectal cancer is preventable if precancerous polyps (ie, adenomas) are detected and removed before they become malignant (cancerous). Over time, small polyps can change their structure and become cancerous. Polyps are usually removed when they are found on colonoscopy, which reduces the chance for that polyp to become cancerous. […] Procedure — The medical term for removing polyps is polypectomy. Most polypectomies can be performed through a colonoscope. Small polyps can be removed with an instrument that is inserted through the colonoscope. Larger polyps are usually removed by placing a noose, or snare, around the polyp base and burning through it with electric cautery. The cautery also helps to stop bleeding after the polyp is removed. […] Polyp removal is not painful because the lining of the colon does not have the ability to feel pain. In addition, a sedative medication given before the colonoscopy can prevent pain caused by stretching of the colon. Rarely, a polyp will be too large to remove during colonoscopy, which means that a surgical procedure will be needed at a later time.
  • #18 Bowel polyps | Healthify
    https://healthify.nz/health-a-z/b/bowel-polyps
    Bowel polyps can be removed during your colonoscopy. […] The doctor or nurse passes a long wire loop through a colonoscope (a long, soft flexible tube containing a tiny video camera and a light) and around the base of the polyp. The loop is pulled tight, cutting off the polyp. You won’t feel anything as you will be given a medicine to numb the area first. […] An operation (surgery) is rarely needed to remove polyps but may be necessary if the polyps are very large or can’t be reached safely during the colonoscopy. […] After removal, the polyp is sent to a laboratory to check for any signs of cancer. […] If polyps are found, there’s a higher chance that you will grow more polyps in the future. You will be offered another colonoscopy in a few years time to find any more polyps that could turn into bowel cancer. How often you need to be checked for polyps depends on your risk of developing bowel cancer, your age and the type and number of polyps found during your colonoscopy. Your doctor or nurse will give you more information on this.
  • #19 Bowel polyps
    https://www.nhs.uk/conditions/bowel-polyps/
    Bowel polyps are usually removed while having a colonoscopy. […] A wire loop that is part of the colonoscope will cut off (snare) or burn off (cauterise) the polyp. This is called a polypectomy and is painless. […] After the polyp or polyps have been removed, they’re sent to a lab to check if: […] If there are cancerous changes in the polyp, you may need further treatment. Your specialist will advise you about this.
  • #20 Bowel polyps | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/bowel-polyps/
    Bowel polyps are small growths on the inner lining of the colon (large bowel) or rectum. […] Bowel polyps are not usually cancerous, although if theyre discovered theyll need to be removed, as some will eventually turn into cancer if left untreated. […] Most people with polyps wont be aware of them as they produce no symptoms and are often discovered by accident. […] If polyps are found, a colonoscopy or CT colonography is needed to view the whole of the large bowel and remove any polyps. […] There are several methods for treating polyps, but the most common procedure involves snaring the polyp during a colonoscopy. […] After the polyp or polyps have been removed, they are sent to specialists in a laboratory, who will inform your consultant if: the polyp has been completely removed, there is any risk of it regrowing, there is any cancerous change in the polyp. […] Some people will need further colonoscopies because polyps can recur.
  • #21 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    Complications — Polypectomy is safe although it has a few potential risks and complications. The most common complications are bleeding and perforation (creating a hole in the colon). Fortunately, this occurs infrequently (one in 1000 patients having colonoscopy). Bleeding can usually be controlled during colonoscopy by cauterizing (applying heat) to the bleeding site; surgery is sometimes required for perforation. […] Medication use — Nonsteroidal anti-inflammatory drugs including aspirin, ibuprofen (sample brand names: Advil, Motrin), and naproxen (sample brand name: Aleve) can usually be continued before your colonoscopy. Acetaminophen (sample brand name: Tylenol) is safe to take. People who require anticlotting medications such as warfarin (sample brand name: Jantoven or Coumadin) should discuss how and when to stop and resume this medication with their clinician.
  • #22 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    Complications — Polypectomy is safe although it has a few potential risks and complications. The most common complications are bleeding and perforation (creating a hole in the colon). Fortunately, this occurs infrequently (one in 1000 patients having colonoscopy). Bleeding can usually be controlled during colonoscopy by cauterizing (applying heat) to the bleeding site; surgery is sometimes required for perforation. […] Medication use — Nonsteroidal anti-inflammatory drugs including aspirin, ibuprofen (sample brand names: Advil, Motrin), and naproxen (sample brand name: Aleve) can usually be continued before your colonoscopy. Acetaminophen (sample brand name: Tylenol) is safe to take. People who require anticlotting medications such as warfarin (sample brand name: Jantoven or Coumadin) should discuss how and when to stop and resume this medication with their clinician.
  • #23 Gastroenterology – Bowel Polyps :: Northern Care Alliance
    https://www.northerncarealliance.nhs.uk/patient-information/patient-leaflets/gastroenterology-bowel-polyps?q=%2Fpatient-information%2Fpatient-leaflets%2Fgastroenterology-bowel-polyps
    Most polyps (90%) are called adenomas by medical professionals. They are very common (occurring in 15-20% of the population) and most of them are not cancerous. […] Polyps are generally removed at the time of your colonoscopy. There are several methods for doing this but the most common are as follows: […] Removing polyps causes a risk of bleeding, which can occur immediately or up to 14 days after the procedure. This generally stops on its own but very occasionally requires a further colonoscopy or a blood transfusion. […] An operation is occasionally needed to remove part of the bowel if the polyp is too large to be removed at colonoscopy by snaring or EMR, or there is concern that the polyp may be cancerous. […] Follow-up after polyp removal varies. but some people will require further colonoscopies because polyps can recur. Some bowel polyps run in families. This is uncommon, but if this condition is diagnosed, colonoscopy checks will be at regular intervals as advised in the national guidelines written by the British Society of Gastroenterology, the details of which are included in the references on the following page.
  • #24 Bowel Polyps Nursing Care Plan – Planning for Care
    https://planningforcare.co.uk/product/bowel-polyps-care-plan/
    Bowel polyps Nursing Care Plan Features: […] Identifies the symptoms experienced […] Details the comprehensive plan of care […] Identifies possible complications.
  • #25 Colon Polyps: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.colon-polyps-care-instructions.ut2896
    Call your doctor now or seek immediate medical care if: You have severe belly pain. Your stools are maroon or very bloody. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have a fever. You have nausea or vomiting. You have a change in bowel habits (new constipation or diarrhea). Your symptoms get worse or are not improving as expected.
  • #26 Colon Polyps: After Your Visit | South Denver GI
    https://southdenvergi.com/colon-polyps-after-your-visit/
    There is no home treatment for colorectal polyps. But you can take steps to prevent them from forming. […] Call your doctor now or seek immediate medical care if: You have severe belly pain. Your stools are maroon or very bloody. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have a fever. You have nausea or vomiting. You have a change in bowel habits (new constipation or diarrhea). Your symptoms get worse or are not improving as expected.
  • #27 Colon Polyps: Symptoms, Causes, Types (Tubular Adenoma, Sessile)
    https://www.cancercenter.com/cancer-types/colorectal-cancer/risk-factors/colon-polyps
    The care team will treat colon polyps by removing them, either through colonoscopy or flexible sigmoidoscopy. Both colonoscopes and sigmoidoscopes have a light and a lens (inserted into the colon) to view the lining of the patient’s colon and rectum, as well as a tool to remove colon polyps. […] Patients undergoing colon polyp removal should alert the doctor if any of the following issues occur afterward: Dizziness, Fever, Persistent bloody stools, Persistent rectal bleeding, Severe abdominal pain, Weakness. […] Colon polyps can grow back. Research indicates that as many as 60 percent of polyps may grow back within three years. Also, about 30 percent of patients who’ve had polyps removed develop new ones. This is why it is important to talk to the care team about follow-up screening within five years after the polyps are removed.
  • #28 Colon (Colorectal) Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/colon-cancer-nursing-diagnosis-care-plan/
    The risk of colorectal cancer is higher by having inflammatory bowel disease (IBD), including ulcerative colitis or Crohns disease. […] Family history of colon cancer and advanced polyp by an immediate (first-degree) relative (parent, sibling, or child) increases the risk. […] Patients with colon cancer are encouraged to eat high-fiber foods like lentils, whole grains, and fruits to aid the passage of food through the intestines and reduce problems related to dysfunctional gastrointestinal motility. […] Normal bowel function can be preserved through a colostomy, where the colon is reconnected to the abdominal surface by creating a stoma. The nurse educates the patient and families on how to care for their colostomy. […] Diarrhea can cause dehydration. Monitoring the patients intake and output can help monitor the patients fluid status and prevent dehydration.
  • #29 Colon (Colorectal) Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/colon-cancer-nursing-diagnosis-care-plan/
    The risk of colorectal cancer is higher by having inflammatory bowel disease (IBD), including ulcerative colitis or Crohns disease. […] Family history of colon cancer and advanced polyp by an immediate (first-degree) relative (parent, sibling, or child) increases the risk. […] Patients with colon cancer are encouraged to eat high-fiber foods like lentils, whole grains, and fruits to aid the passage of food through the intestines and reduce problems related to dysfunctional gastrointestinal motility. […] Normal bowel function can be preserved through a colostomy, where the colon is reconnected to the abdominal surface by creating a stoma. The nurse educates the patient and families on how to care for their colostomy. […] Diarrhea can cause dehydration. Monitoring the patients intake and output can help monitor the patients fluid status and prevent dehydration.
  • #30 Colon (Colorectal) Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/colon-cancer-nursing-diagnosis-care-plan/
    Administer antidiarrheal medications as prescribed to help relieve symptoms of diarrhea. […] Colorectal cancer patients often get unusual infections due to the invasion of tissues close to the tumor or transient bacteremia from necrotic tumors. […] Nursing interventions and care are essential for the patients recovery. In the following section, you’ll learn more about possible nursing interventions for a patient with colon cancer.
  • #31
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2896
    Colon polyps are growths in the colon or the rectum. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Regular exams to look for colon polyps are the best way to prevent polyps from turning into colon cancer. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have severe belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have a fever.
  • #32 Colon Polyps: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.colon-polyps-care-instructions.ut2896
    Colon polyps are growths in the colon or the rectum. The cause of most colon polyps is not known, and most people who get them do not have any problems. But a certain kind can turn into cancer. For this reason, regular testing for colon polyps is important for people as they get older. It is also important for anyone who has an increased risk for colon cancer. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Regular exams to look for colon polyps are the best way to prevent polyps from turning into colon cancer. These can include stool tests, sigmoidoscopy, colonoscopy, and CT colonography. Talk with your doctor about a testing schedule that is right for you.
  • #33 Colon Polyps: Symptoms, Causes, Types (Tubular Adenoma, Sessile)
    https://www.cancercenter.com/cancer-types/colorectal-cancer/risk-factors/colon-polyps
    The care team will treat colon polyps by removing them, either through colonoscopy or flexible sigmoidoscopy. Both colonoscopes and sigmoidoscopes have a light and a lens (inserted into the colon) to view the lining of the patient’s colon and rectum, as well as a tool to remove colon polyps. […] Patients undergoing colon polyp removal should alert the doctor if any of the following issues occur afterward: Dizziness, Fever, Persistent bloody stools, Persistent rectal bleeding, Severe abdominal pain, Weakness. […] Colon polyps can grow back. Research indicates that as many as 60 percent of polyps may grow back within three years. Also, about 30 percent of patients who’ve had polyps removed develop new ones. This is why it is important to talk to the care team about follow-up screening within five years after the polyps are removed.
  • #34 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    • Eat a diet that is low in fat and high in fruits, vegetables, and fiber […] • Maintain a normal body weight […] • Avoid smoking and excessive alcohol use […] IMPLICATIONS FOR THE FAMILY […] First-degree relatives (a parent, brother, sister, or child) of a person who has been diagnosed with an adenomatous polyp or colorectal cancer before the age of 60 years, or those with two or more relatives with colorectal cancer at any age, have an increased risk of developing adenomatous polyps and colorectal cancer compared with the general population. Thus, a person diagnosed with an adenoma or colon cancer should share the information with family members, and each person should learn about the cancer history in their family. Some genetic conditions, such as Lynch syndrome, can also cause other cancers.
  • #35 HIE Multimedia – Colorectal polyps
    https://ssl.adam.com/content.aspx?productid=117&pid=1&gid=000266&site=atlantichealthssl.adam.com&login=ATLA1992
    Colorectal polyps should be removed because some can develop into cancer. In most cases, the polyps may be removed during a colonoscopy. […] If your doctor finds that you have adenomatous polyps, be aware that you may get new polyps in the future. Your doctor will recommend that you have a follow-up colonoscopy in 1 to 10 years, depending on your age and general health, the number of polyps the doctor found, the size and characteristic of the polyps, and if cancer was found. […] The outlook is excellent if the polyps are removed. Polyps that are not removed can develop into cancer over time. […] To reduce your risk of developing polyps: Eat foods low in fat and eat more fruits, vegetables, and fiber. Do not smoke and do not drink alcohol in excess. Maintain a normal body weight. Get regular exercise.
  • #36
    https://fascrs.org/patients/diseases-and-conditions/a-z/polyps-of-the-colon-and-rectum
    Colorectal polyps are commonly found during standard screening exams of the colon (large intestine) and rectum (the bottom section of your colon). […] Having polyps removed reduces a persons future risk for colorectal cancer. […] Removal of colorectal polyps is advised because there is no test to determine if one will turn into cancer. Nearly all polyps can be removed or eliminated during a colonoscopy. […] For this reason, your physician will advise follow-up testing to look for new polyps. This is usually done 3 to 5 years after polyp removal. […] If you had polyps removed, ask your physician if you should take this medication to help prevent them from coming back.
  • #37 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    COLON CANCER PREVENTION […] Follow-up colonoscopy — The results of the tissue analysis of polyps are discussed with patients when they are available, within a few weeks after the procedure, to decide if and when a follow-up examination is needed. People with adenomatous polyps have an increased risk of developing more polyps. There is a 25 to 30 percent chance that adenomas will be present on a repeat colonoscopy done three years after the initial polypectomy. Some of these polyps may have been present during the original examination but were too small to detect. Other new polyps may also have developed. […] After polyps are removed, repeat colonoscopy is recommended. The exact time interval for follow-up varies depending upon several factors: […] • Microscopic characteristics of the polyp.
  • #38 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    • Number and size of the polyps. […] • Whether it was possible to examine the entire colon. […] • Ability to see the colon during the colonoscopy. A bowel preparation is needed before colonoscopy to remove all traces of feces (stool). If the bowel preparation was not adequate enough, feces may remain in the colon, making it more difficult to see small- to moderate-size polyps. In such situations, when the colonoscopy was not adequate, it should be repeated to ensure adequate visualization. […] Screening saves lives. Persons who undergo regular screening for colon cancer are much less likely to die from colon cancer. Following the screening guidelines can also prevent people from developing colon cancer. […] Lifestyle measures — Guidelines issued by one of the major medical societies in the United States (the American College of Gastroenterology) suggest the following:
  • #39 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    COLON CANCER PREVENTION […] Follow-up colonoscopy — The results of the tissue analysis of polyps are discussed with patients when they are available, within a few weeks after the procedure, to decide if and when a follow-up examination is needed. People with adenomatous polyps have an increased risk of developing more polyps. There is a 25 to 30 percent chance that adenomas will be present on a repeat colonoscopy done three years after the initial polypectomy. Some of these polyps may have been present during the original examination but were too small to detect. Other new polyps may also have developed. […] After polyps are removed, repeat colonoscopy is recommended. The exact time interval for follow-up varies depending upon several factors: […] • Microscopic characteristics of the polyp.
  • #40 Updated surveillance guidance for people who have had polyps or previous cancer removed | Bowel Cancer UK
    https://www.bowelcanceruk.org.uk/news-and-blogs/research-blog/updated-surveillance-guidance-for-people-who-have-had-polyps-or-previous-cancer-removed/
    Surveillance is a term used to describe 'check-up’ colonoscopies that a person might receive after they have had bowel polyps (non-cancerous growths) or a bowel cancer removed. A colonoscopy is an examination using a thin flexible tube with a camera on the end to look inside the bowel. […] The purpose of surveillance colonoscopies is to find and remove new polyps, to reduce the risk of bowel cancer developing in the future. Colonoscopies can also help detect bowel cancer at an early stage, when treatment has the best chance of working. […] Most people who have one polyp removed after their initial colonoscopy won’t usually need surveillance. Surveillance is for people at higher risk of developing more polyps that might later develop into bowel cancer. The aim is to make surveillance more personalised, ensuring it is recommended for people who are at risk of new polyps and should have future surveillance colonoscopies.
  • #41 Updated surveillance guidance for people who have had polyps or previous cancer removed | Bowel Cancer UK
    https://www.bowelcanceruk.org.uk/news-and-blogs/research-blog/updated-surveillance-guidance-for-people-who-have-had-polyps-or-previous-cancer-removed/
    For people who have had a bowel cancer removed, it is recommended that, after treatment, patients should have a follow-up colonoscopy after one year and another surveillance colonoscopy after a further three years. […] It usually takes at least 10 years for a polyp to develop into a high-risk polyp or cancer. Although colonoscopy is generally a safe procedure, the risks of a complication are greater in people over 75, so in general surveillance colonoscopy is not recommended for those over this age. That being said, every patient should be able to discuss their own case with their doctor to weigh-up the associated risks and potential benefits of having a further colonoscopy. […] This new guidance is more tailored to an individual’s level of risk, as it considers how old someone is, as well as the number and type of polyps that were found at their initial colonoscopy. […] These guidelines are being applied retrospectively, which means some low-risk people currently receiving surveillance colonoscopies will no longer need to.
  • #42 Updated surveillance guidance for people who have had polyps or previous cancer removed | Bowel Cancer UK
    https://www.bowelcanceruk.org.uk/news-and-blogs/research-blog/updated-surveillance-guidance-for-people-who-have-had-polyps-or-previous-cancer-removed/
    For people who have had a bowel cancer removed, it is recommended that, after treatment, patients should have a follow-up colonoscopy after one year and another surveillance colonoscopy after a further three years. […] It usually takes at least 10 years for a polyp to develop into a high-risk polyp or cancer. Although colonoscopy is generally a safe procedure, the risks of a complication are greater in people over 75, so in general surveillance colonoscopy is not recommended for those over this age. That being said, every patient should be able to discuss their own case with their doctor to weigh-up the associated risks and potential benefits of having a further colonoscopy. […] This new guidance is more tailored to an individual’s level of risk, as it considers how old someone is, as well as the number and type of polyps that were found at their initial colonoscopy. […] These guidelines are being applied retrospectively, which means some low-risk people currently receiving surveillance colonoscopies will no longer need to.
  • #43 Updated surveillance guidance for people who have had polyps or previous cancer removed | Bowel Cancer UK
    https://www.bowelcanceruk.org.uk/news-and-blogs/research-blog/updated-surveillance-guidance-for-people-who-have-had-polyps-or-previous-cancer-removed/
    For people who have had a bowel cancer removed, it is recommended that, after treatment, patients should have a follow-up colonoscopy after one year and another surveillance colonoscopy after a further three years. […] It usually takes at least 10 years for a polyp to develop into a high-risk polyp or cancer. Although colonoscopy is generally a safe procedure, the risks of a complication are greater in people over 75, so in general surveillance colonoscopy is not recommended for those over this age. That being said, every patient should be able to discuss their own case with their doctor to weigh-up the associated risks and potential benefits of having a further colonoscopy. […] This new guidance is more tailored to an individual’s level of risk, as it considers how old someone is, as well as the number and type of polyps that were found at their initial colonoscopy. […] These guidelines are being applied retrospectively, which means some low-risk people currently receiving surveillance colonoscopies will no longer need to.
  • #44 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    • Eat a diet that is low in fat and high in fruits, vegetables, and fiber […] • Maintain a normal body weight […] • Avoid smoking and excessive alcohol use […] IMPLICATIONS FOR THE FAMILY […] First-degree relatives (a parent, brother, sister, or child) of a person who has been diagnosed with an adenomatous polyp or colorectal cancer before the age of 60 years, or those with two or more relatives with colorectal cancer at any age, have an increased risk of developing adenomatous polyps and colorectal cancer compared with the general population. Thus, a person diagnosed with an adenoma or colon cancer should share the information with family members, and each person should learn about the cancer history in their family. Some genetic conditions, such as Lynch syndrome, can also cause other cancers.
  • #45 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    • Eat a diet that is low in fat and high in fruits, vegetables, and fiber […] • Maintain a normal body weight […] • Avoid smoking and excessive alcohol use […] IMPLICATIONS FOR THE FAMILY […] First-degree relatives (a parent, brother, sister, or child) of a person who has been diagnosed with an adenomatous polyp or colorectal cancer before the age of 60 years, or those with two or more relatives with colorectal cancer at any age, have an increased risk of developing adenomatous polyps and colorectal cancer compared with the general population. Thus, a person diagnosed with an adenoma or colon cancer should share the information with family members, and each person should learn about the cancer history in their family. Some genetic conditions, such as Lynch syndrome, can also cause other cancers.
  • #46 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    While screening for polyps and cancer is recommended for everyone (typically beginning at age 45), those at increased risk should begin screening earlier. The best test for screening in people with an increased risk of cancer is not known, although a sensitive test (such as colonoscopy) is usually recommended. […] Relatives can be told the following, based on typical guidelines for screening people with a family history of colorectal cancer: […] • People who have one first-degree relative (biological parent, brother, sister, or child) with colorectal cancer or an advanced type of adenomatous polyp at a young age (before the age of 60 years), or two first-degree relatives diagnosed at any age, should begin screening for colon cancer earlier, typically at age 40, or 10 years younger than the earliest diagnosis in their family, whichever comes first. Screening usually involves colonoscopy, which should be repeated every five years.
  • #47 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    While screening for polyps and cancer is recommended for everyone (typically beginning at age 45), those at increased risk should begin screening earlier. The best test for screening in people with an increased risk of cancer is not known, although a sensitive test (such as colonoscopy) is usually recommended. […] Relatives can be told the following, based on typical guidelines for screening people with a family history of colorectal cancer: […] • People who have one first-degree relative (biological parent, brother, sister, or child) with colorectal cancer or an advanced type of adenomatous polyp at a young age (before the age of 60 years), or two first-degree relatives diagnosed at any age, should begin screening for colon cancer earlier, typically at age 40, or 10 years younger than the earliest diagnosis in their family, whichever comes first. Screening usually involves colonoscopy, which should be repeated every five years.
  • #48 Patient education: Colon polyps (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
    • People who only have a second-degree relative (grandparent, aunt, or uncle) or third-degree relative (great-grandparent or cousin) with colorectal cancer should be screened for colon cancer similar to a person with an average risk. […] • Some conditions, such as hereditary nonpolyposis colorectal cancer (Lynch syndrome), familial adenomatous polyposis, MUTYH-associated polyposis, and inflammatory bowel disease (eg, ulcerative colitis, Crohn disease) significantly increase the risk of colon polyps or cancer in family members. Colon cancer screening in this group is discussed separately.
  • #49 Colon (Colorectal) Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/colon-cancer-nursing-diagnosis-care-plan/
    Administer antidiarrheal medications as prescribed to help relieve symptoms of diarrhea. […] Colorectal cancer patients often get unusual infections due to the invasion of tissues close to the tumor or transient bacteremia from necrotic tumors. […] Nursing interventions and care are essential for the patients recovery. In the following section, you’ll learn more about possible nursing interventions for a patient with colon cancer.
  • #50 Colon (Colorectal) Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/colon-cancer-nursing-diagnosis-care-plan/
    The risk of colorectal cancer is higher by having inflammatory bowel disease (IBD), including ulcerative colitis or Crohns disease. […] Family history of colon cancer and advanced polyp by an immediate (first-degree) relative (parent, sibling, or child) increases the risk. […] Patients with colon cancer are encouraged to eat high-fiber foods like lentils, whole grains, and fruits to aid the passage of food through the intestines and reduce problems related to dysfunctional gastrointestinal motility. […] Normal bowel function can be preserved through a colostomy, where the colon is reconnected to the abdominal surface by creating a stoma. The nurse educates the patient and families on how to care for their colostomy. […] Diarrhea can cause dehydration. Monitoring the patients intake and output can help monitor the patients fluid status and prevent dehydration.
  • #51 Colon (Colorectal) Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/colon-cancer-nursing-diagnosis-care-plan/
    Administer antidiarrheal medications as prescribed to help relieve symptoms of diarrhea. […] Colorectal cancer patients often get unusual infections due to the invasion of tissues close to the tumor or transient bacteremia from necrotic tumors. […] Nursing interventions and care are essential for the patients recovery. In the following section, you’ll learn more about possible nursing interventions for a patient with colon cancer.
  • #52 Colon (Colorectal) Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/colon-cancer-nursing-diagnosis-care-plan/
    Administer antidiarrheal medications as prescribed to help relieve symptoms of diarrhea. […] Colorectal cancer patients often get unusual infections due to the invasion of tissues close to the tumor or transient bacteremia from necrotic tumors. […] Nursing interventions and care are essential for the patients recovery. In the following section, you’ll learn more about possible nursing interventions for a patient with colon cancer.