{"id":5469,"date":"2019-11-03T22:34:59","date_gmt":"2019-11-03T22:34:59","guid":{"rendered":"https:\/\/www.institutoendoscopiaavanzada.com\/2019\/11\/03\/polipos-y-tumores-superficiales-precoces-del-aparato-digestivo\/"},"modified":"2023-11-07T16:44:43","modified_gmt":"2023-11-07T16:44:43","slug":"polipos-y-tumores-superficiales-precoces-del-aparato-digestivo","status":"publish","type":"post","link":"https:\/\/www.institutoendoscopiaavanzada.com\/en\/polipos-y-tumores-superficiales-precoces-del-aparato-digestivo\/","title":{"rendered":"Early superficial polyps and tumors of the Digestive System"},"content":{"rendered":"

What are digestive tract polyps?<\/span><\/span><\/span><\/strong><\/p>\n

The development of a large part of the tumors of the digestive tract, especially colon cancer, the sequence of events that occurs involves the development of a precancerous lesion that in medicine is known as \u201cadenoma\u201d in its different forms, and which<\/span><\/span> , popularly, are known as \u201cPolyps\u201d<\/span><\/span><\/span><\/p>\n

Therefore, some \u201cpolyps\u201d are premalignant lesions of the digestive tract.<\/span><\/span><\/span><\/p>\n

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What symptoms does it cause?<\/span><\/span><\/span><\/strong><\/p>\n

Usually these polyps rarely produce symptoms, except when they are located in the final section of the colon, very close to the anus, and grow enough that they can cause the appearance of blood mixed with feces.<\/span><\/span><\/span><\/p>\n

How are they diagnosed?<\/span><\/span><\/span><\/strong><\/p>\n

The way to diagnose premalignant lesions of the digestive tract almost always involves invasive methods.<\/span><\/span> However, when they are large enough and protrude into the lumen of the colon, they can also be seen in imaging tests.<\/span><\/span> Knowing, in addition, that sometimes these lesions produce minimal bleeding, undetectable when the feces are examined with the naked eye, a Fecal Occult Blood test can be performed (necessarily with three samples of three different stools and preferably using a test that is<\/span><\/span> called immunological), to detect the presence of blood not detected visu.<\/span><\/span><\/span><\/p>\n

Despite everything, the most precise tests that detect the most lesions are endoscopies: Gastroscopy for lesions of the esophagus, stomach and duodenum, Colonoscopy for lesions of the colon and rectum and capsule endoscopy \/ enteroscopy for lesions of the<\/span><\/span> small intestine.<\/span><\/span><\/span><\/p>\n

How are they treated?<\/span><\/span><\/span><\/strong><\/p>\n

If within medicine there is controversy when it comes to addressing different problems, in the case of colon polyps there is a great consensus to always treat them endoscopically, regardless of size or location, it seems reasonable to assume that the first option should always be<\/span><\/span> If the option is to remove these lesions by endoscopy, since it avoids unnecessary surgery for the patient, recovery is always quick and in no case does it involve mutilation of the patient.<\/span><\/span><\/span><\/p>\n

An attempt should be made, as far as possible, to remove these lesions in a single piece, which is always sent to the specialist in Pathological Anatomy, our expert in looking at the lesions under the light of the microscope, and who is the one who tells us, after the<\/span><\/span> thorough examination of the piece, that the polyp is completely removed and the \u201cname and surname\u201d of the polyp, which always has a fundamental value when considering endoscopic surveillance of the patient.<\/span><\/span><\/span><\/p>\n

To remove these polyps completely and in one piece, we have several endoscopic strategies.<\/span><\/span><\/span><\/p>\n

SIMPLE POLYPECTOMY<\/span><\/span><\/span><\/p>\n

Simple polypectomies, which are performed with a polypectomy snare, are routinely performed in any endoscopy suite.<\/span><\/span> It consists of linking the polyp with a instrument, called a \u201cdiathermy handle\u201d and, applying electric current or without it, in the case of lesions smaller than a centimeter, completely sectioning the polyp.<\/span><\/span><\/span><\/p>\n