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COLONOSCOPIA Y POLIPECTOMIA: REVISION Y ACTUALIZACION

(especial para SIIC © Derechos reservados)
Aspectos básicos y actualizados de la colonoscopia, sus riesgos y beneficios.
nelson9.jpg Autor:
Douglas Nelson
Columnista Experto de SIIC

Institución:
Staff Physician in Gastroenterology Minneapolis VA Medical Center MI, USA

Artículos publicados por Douglas Nelson
Recepción del artículo
16 de Noviembre, 2004 		Primera edición
17 de Octubre, 2005 		Segunda edición, ampliada y corregida
7 de Junio, 2021

COLONOSCOPIA Y POLIPECTOMIA: REVISION Y ACTUALIZACION

Resumen
La posibilidad de que un individuo con un riesgo promedio padezca cáncer colorrectal durante su vida es de aproximadamente el 6%. El cáncer colorrectal es la segunda causa principal de mortalidad relacionada con las neoplasias en los Estados Unidos, con cerca de 14 000 nuevos casos diagnosticados y más de medio millón de fallecimientos anuales. La vasta mayoría de estos tumores progresan desde adenomas al cáncer en un período de tiempo prolongado, lo que permite una oportunidad única para intervenir e interrumpir la historia natural de esta enfermedad. Se ha establecido con claridad que la remoción de los adenomas del colon (polipectomía) puede evitar la aparición de cáncer colorrectal. Esta revisión familiarizará a aquellos facultativos que no son endoscopistas con los beneficios esperados y con los riesgos de la colonoscopia, los principios básicos del procedimiento y los aspectos técnicos del equipamiento, así como sobre los avances más recientes y sus controversias.

Palabras clave
Colonoscopia, endoscopia, polipectomía, cáncer colorrectal, neoplasias colónicas


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COLONOSCOPY AND POLYPECTOMY: OVERVIEW AND UPDATE

Abstract
The chance of an average-risk individual developing colorectal cancer in their lifetime is approximately 6%. Colorectal cancer is the second leading cause of cancer-related mortality in the United States, with approximately 140 000 new cases diagnosed and over 50 000 deaths annually. The vast majority of colorectal cancers progress from adenomas to cancer over a long time period, which allows a unique opportunity to intervene and interrupt the natural history of this disease. It has now been well established that the removal of adenomas from the colon (polypectomy) can prevent the development of colorectal cancer. The present review will familiarize the non-endoscopist with the expected benefits and risks of colonoscopy, basic principles of the procedure and technical aspects of the equipment, as well as recent advances and controversies.

Key words
Colonoscopy, endoscopy, polypectomy, colorectal cancer, colonic neoplasms


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Especialidades
Principal: Gastroenterología
Relacionadas: Diagnóstico por Imágenes, Medicina Interna



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  1. Seidman H, Mushinksi MH, Gelb SK, Silverberg E. Probability of eventually developing or dying of cancer - United States, 1985. CA Cancer J Clin 1985;35:36-56.
  2. Jemal A, Tiwari RC, Murray T, Ghafoor A, Samuels A, Ward E, et al. Cancer statistics, 2004. CA Cancer J Clin 2004;54:8-29.
  3. Bond JH. Clinical evidence for the adenoma-carcinoma sequence, and the management of patients with colorectal adenomas. Seminars in Gastrointestinal Disease 2000;11:176-84.
  4. Winawer SJ, Zauber AG, Ho MN, O'Brien MJ, Gottlieb LS, Sternberg SS, et al. Prevention of colorectal cancer by colonoscopic polypectomy. N Engl J Med 1993;329:1977-81.
  5. Citarda F, Tomaselli G, Capocaccia R, Barcherini S, Crespi M, Group TIMS. Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence. Gut 2001;48:812-5.
  6. Murakami R, Tsukuma H, Kanamori S, Imanishi K, Otani T, Nakanishi K, et al. Natural history of colorectal polyps and the effect of polypectomy on occurrence of subsequent cancer. Int J Cancer 1990;46:159-64.
  7. Müller AD, Sonnenberg A. Prevention of colorectal cancer by flexible endoscopy and polypectomy. Ann Intern Med 1995;123:904-10.
  8. Thiis-Evensen E, Hoff GS, Sauar J, Langmark F, Majak BM, Vatn MH. Population-based surveillance by colonoscopy: effect on the incidence of colorectal cancer. Scand J Gastroenterol 1999;34:414-20.
  9. Mandel JS, Church TR, Bond JH, Ederer F, Geisser MS, Mongin SJ, et al. The effect of fecal occult-blood screening on the incidence of colorectal cancer. N Engl J Med 2000;343:1603-7.
  10. Rembacken BJ, Fujii T, Cairns A, Dixon MF, Yoshida S, Chalmers DM, et al. Flat and depressed colonic neoplasms: a prospective study of 1000 colonoscopies in the UK. Lancet 2000;355:1211-4.
  11. Saitoh Y, Waxman I, West AB, Popnikolov NK, Gatalica Z, Watari J, et al. Prevalence and distinctive biologic features of flat colorectal adenomas in a North American population. Gastroenterology 2001;120:1657-65.
  12. Hurlstone DP, Cross SS, Adam I, Shorthouse AJ, Brown S, Sanders DS, et al. A prospective clinicopathological and endoscopic evaluation of flat and depressed colorectal lesions in the United Kingdom. Am J Gastroenterol 2003;98:2543-9.
  13. Schlemper RJ, Itabashi M, Kato Y, Lewin KJ, Riddell RH, Shimoda T, et al. Differences in the diagnostic criteria used by Japanese and Western pathologists to diagnose colorectal carcinoma. Cancer 1998;82:60-9.
  14. Willis J, Riddell RH. Biology versus terminology: East meets West om surgical pathology. Gastrointest Endosc 2003;57:369-76.
  15. Diebold M-D, Samalin E, Merle C, Bouché O, Higuero T, Jolly D, et al. Colonic flat neoplasia: frequency and concordance between endoscopic appearance and histological diagnosis in a French prospective series. Am J Gastroenterol 2004;99:1795-800.
  16. O'Brien MJ, Winawer SJ, Zauber AG, Bushey MT, Sternberg SS, Gottlieb LS, et al. Flat adenomas in the National Polyp Study: is there increased risk for high-grade dysplasia initially or during surveillance Clin Gastroenterol Hepatol 2004;2:905-11.
  17. Berci G, Panish JF, Schapiro M, Corlin R. Complications of colonoscopy and polypectomy. Gastroenterology 1974;67:584-5.
  18. Rogers BHG, Silvis SE, Nebel OT, Sugawa C, Mandelstam P. Complications of flexible fiberoptic colonoscopy and polypectomy. Gastrointest Endosc 1975;22:73-7.
  19. Smith LE. Fiberoptic colonoscopy: complications of colonoscopy and polypectomy. Dis Colon Rectum 1976;19:407-12.
  20. Frühmorgen P, Demling L. Complications of diagnostic and therapeutic colonoscopy in the Federal Republic of Germany. Results of an inquiry. Endoscopy 1979;11:146-50.
  21. Macrae FA, Tan KG, Williams CB. Toward safer colonoscopy: a report on the complications of 5000 diagnostic or therapeutic colonoscopies. Gut 1983;24:376-83.
  22. Waye JD, Bashkoff E. Total colonoscopy: is it always possible Gastrointest Endosc 1991;37:152-4.
  23. Basson MD, Etter L, Panzini LA. Rates of colonoscopic perforation in current practice. Gastroenterology 1998;114:1115.
  24. Eckardt VF, Kanzler G, Schmitt T, Eckardt AJ, Bernhard G. Complications and adverse effects of colonoscopy with selective sedation. Gastrointest Endosc 1999;49:560-65.
  25. Zubarik R, Fleischer DE, Mastropietro C, Lopez J, Carroll J, Benjamin S, et al. Prospective analysis of complications 30 days after oupatient colonoscopy. Gastrointest Endosc 1999;50:322-28.
  26. Anderson ML, Pasha TM, Leighton JA. Endoscopic perforation of the colon: lessons from a 10-year study. Am J Gastroenterol 2000;95:3418-22.
  27. Binmoeller KF, Bohnacker S, Seifert H, Thonke F, Valdeyar H, Soehendra N. Endoscopic snare excision of "giant" colorectal polyps. Gastrointest Endosc 1996;43:183-8.
  28. Church JM. Avoiding surgery in patients with colorectal polyps. Dis Colon Rectum 2003;46:1513-6.
  29. Conio M, Repici A, Demarquay J-F, Blanchi S, Dumas R, Filiberti R. EMR of large sessile colorectal polyps. Gastrointest Endosc 2004;60:234-41.
  30. Overholt BF. Clinical experience with the fibersigmoidoscope. Gastrointest Endosc 1968;15:27.
  31. Wolff WI, Shinya H. Colonofiberoscopy. JAMA 1971;217:1509-12.
  32. Williams C, Muto T, Rutter KRP. Removal of polyps with fibreoptic colonoscope: a new approach to colonic polypectomy. BMJ 1973;1:451-2.
  33. Wolff WI, Shinya H. Polypectomy via the fiberoptic colonoscope. N Engl J Med 1973;288:329-32.
  34. Harewood GC, Sharma VK, de Garmo P. Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia. Gastrointest Endosc 2003;58:76-9.
  35. DiPalma JA, Brady III CE. Colon cleansing for diagnostic and surgical procedures: polyethylene glycol-electrolyte lavage solution. Am J Gastroenterol 1989;84:1008-16.
  36. Hsu C-W, Imperiale TF. Meta-analysis and cost comparison of polyethylene glycol lavage versus sodium phosphate for colonoscopy preparation. Gastrointest Endosc 1998;48:276-82.
  37. Lieberman DA, Ghormley J, Flora K. Effect of oral sodium phosphate colon preparation on serum electrolytes in patients with normal serum creatinine. Gastrointest Endosc 1996;43:467-9.
  38. Huynh T, Vanner S, Paterson W. Safety profile of 5-h oral sodium phosphate regimen for colonoscopy cleansing: lack of clinically significant hypocalcemia or hypovolemia. Am J Gastroenterol 1995;90:104-7.
  39. Nelson DB, Barkun AN, Block KP, Burdick JS, Ginsberg GG, Greenwald DA, et al. Colonoscopy preparations. Gastrointest Endosc 2001;54:829-32.
  40. ASGE. Position statement on laboratory testing before ambulatory elective endoscopic procedures. Gastrointest Endosc 1999;50:906-9.
  41. Yousfi M, Gostout CJ, Baron TH, Hernandez JL, Keate R, Fleischer DE, et al. Postpolypectomy lower gastrointestinal bleeding: potential role of aspirin. Am J Gastroenterol 2004;99:1785-9.
  42. Hui A, Wong RMY, Ching JYL, Hung LCT, Chung SCS, Sung JJY. Risk of colonoscopic polypectomy bleeding with anticoagulants and antiplatelet agents: analysis of 1657 cases. Gastrointest Endosc 2004;59:44-8.
  43. ASGE. Guideline on the management of anticoagulation and antiplatelet therapy for endoscopic procedures. Gastrointest Endosc 2000;48:672-5.
  44. Norton ID, Wang L, Levine SA, Burgart LJ, Hofmeister EK, Rumalla A, et al. Efficacy of colonic submucosal saline solution injection for the reduction of iatrogenic thermal injury. Gastrointest Endosc 2002;56:95-9.
  45. Winawer S, Fletcher R, Rex D, Bond J, Burt R, Ferrucci J, et al. Colorectal cancer screening and surveillance: clinical guidelines and rationale-update based on new evidence. Gastroenterology 2003;124:544-60.
  46. Bond JH. Polyp guideline: diagnosis, treatment, and surveillance for patients with colorectal polyps. Am J Gastroenterol 2000;95:3053-63.
  47. Wolff WI, Shinya H. Definitive treatment of "malignant" polyps of the colon. Ann Surg 1975;182:516-25.
  48. Coutsoftides T, Sivak Jr. MV, Benjamin SP, Jagelman D. Colonoscopy and the management of polyps containing invasive carcinoma. Ann Surg 1978;188:638-41.
  49. Rossini FP, Ferrari A, Coverlizza S, Spandre M, Risio M, Gemme C, et al. Large bowel adenomas containing carcinoma - a diagnostic and therapeutic approach. Int J Colorect Dis 1988;3:47-52.
  50. Fenoglio C, Kaye GI, Lane N. Distribution of human colonic lymphatics in normal, hyperplastic, and adenomatous tissue. Gastroenterology 1973;64:51-66.
  51. Volk EE, Goldblum JR, Petras RE, Carey WD, Fazio VW. Management and outcome of patients with invasive carcinoma arising in colorectal polyps. Gastroenterology 1995;109:1801-7.
  52. Cranley JP. Proper management of the patient with a malignant colorectal polyp. Gastrointest Endosc Clin N Am 1993;3:661-71.
  53. Hannan EL, Radzyner M, Rubin D, Dougherty J, Brennan MF. The influence of hospital and surgeon volume on in-hospital mortality for colectomy, gastrectomy, and lung lobectomy in patients with cancer. Surgery 2002;131:6-15.
  54. Callahan MA, Christos PJ, Gold HT, Mushlin AI, Daly JM. Influence of surgical subspecialty training on in-hospital mortality for gastrectomy and colectomy patients. Ann Surg 2003;238:629-39.
  55. Tekkis PP, Poloniecki JD, Thompson MR, Stamatakis JD. Operative mortality in colorectal cancer: prospective national study. BMJ 2003;327:1196-201.
  56. Kimmey MB, Burnett DA, Carr-Locke DL, DiMarino AJ, Jensen DM, Katon R, et al. Transmission of infection by gastrointestinal endoscopy. Gastrointest Endosc 1993;36:885-8.
  57. Nelson DB. Infectious disease complications of GI endoscopy: Part II, exogenous infections. Gastrointest Endosc 2003;57:695-711.
  58. Nelson DB, Jarvis WR, Rutala WA, Foxx-Orenstein AE, Isenberg G, Dash GP, et al. Multi-society guideline for reprocessing flexible gastrointestinal endoscopes. Gastrointest Endosc 2003;58:1-8.
  59. Cass OW, Freeman ML, Peine CJ, Zera RT, Onstad GR. Objective evaluation of endoscopy skills during training. Ann Intern Med 1993;118:40-4.
  60. Marshall JB. Technical proficiency of trainees performing colonoscopy: a learning curve. Gastrointest Endosc 1995;42:287-91.
  61. Chak A, Cooper GS, Blades EW, Canto M, Sivak Jr. MV. Prospective assessment of colonoscopic intubation skills in trainees. Gastrointest Endosc 1996;44:54-7.
  62. Dafnis G, Granath F, Påhlman L, Hannuksela H, Ekbom A, Blomqvist P. The impact of endoscopists' experience and learning curves and interendoscopist variation on colonoscopy completion rates. Endoscopy 2001;33:511-7.
  63. Church J, Oakley J, Milsom J, Strong S, Hull T. Colonoscopy training: the need for patience (patients). Aust N Z J Surg 2002;72:89-91.
  64. Rex DK. Colonoscopic withdrawal technique is associated with adenoma miss rates. Gastrointest Endosc 2000;51:33-6.
  65. Sanchez W, Harewood GC, Petersen BT. Evaluation of polyp detection in relation to procedure time of screening or surveillance colonoscopy. Am J Gastroenterol 2004;99:1941-5.
 
 
 
 
 
 
 
 
 
 
 
 
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