Are colon polyps serious?

We should also pay attention to the occurrence of colon polyps. If the polyps have some lesions, the harm caused will be greater. Therefore, once similar symptoms are found, such as blood in the stool or intussusception and other non-problems, we should pay attention to going to the hospital for examination and then treat it after the diagnosis is confirmed.

1. Any polyp-like lesions that protrude from the mucosal surface into the intestinal cavity are called polyps before the pathological nature is determined. According to the pathology, they can be divided into: adenomatous polyps (including papillary adenomas) are the most common, inflammatory polyps are the result of hyperplasia of the intestinal mucosa due to long-term inflammatory stimulation, hamartoma-type polyps, and others, such as hyperplastic polyps formed by mucosal hypertrophy, lymphoid tissue hyperplasia, carcinoid and other diseases. Clinically, polyps can be single or multiple, with colorectal polyps being more common and having more obvious symptoms. Depending on the severity of the symptoms, polyposis can be treated with a variety of methods, including Chinese and Western medicine, colonoscopy, laser, cryosurgery, ligation, and transabdominal or transanal treatment.

2. Clinical manifestations

1. Intermittent blood in the stool or blood on the surface of the stool, mostly bright red, and heavy bleeding is not uncommon; secondary inflammatory infection may be accompanied by a large amount of mucus or mucus and blood in the stool, and there may be tenesmus, constipation or increased frequency of bowel movements. Those with long pedicles or those located near the anus may have polyps protruding from the anus, and there may also be cases of intussusception, eversion and prolapse.

2. A small number of patients may experience abdominal distension, discomfort, dull pain or abdominal pain.

3. Rectal examination can palpate low-positioned polyps.

4. An anoscope, rectal colonoscope or fiber colonoscope can directly see the polyps.

5. Barium enema can show filling defects.

Treatment

(1) A single polyp can be removed and pathological examination can be performed at the same time.

(2) If there are multiple polyps or large polyps with signs of malignancy, a pathological biopsy can be performed through an anal colonoscopy to rule out malignancy.

(3) Low-positioned or long-pedunculated polyps can be removed using an anoscope, a rectoscopy, band ligation, or direct transanal removal.

(4) For broad-based or multiple polyps, partial intestinal wall resection can be performed via the abdomen, perineum, or sacrum.

(5) High-positioned polyps can be treated with high-frequency electroresection using fiber colonoscopy.

(6) If a polyp has become cancerous, it should be radically removed as a tumor.