Digestive tube polyps

Digestive tube polyps's disease overview

digestive tube polyps is a situation that the appearance of polyps spreads along the heart gastrointestinal tract , from the esophagus, stomach , duodenum to colorectal. This is a chromosome genetic disease that is often called Peutz - Jeghers syndrome (PJS).

Polyps appear mainly in the small intestine (60-90%) and colon (50-64%). Patients with gastrointestinal polyps are often accompanied by the presence of dark pigments in the oral mucosa. digestive tube polyps also appear in other organs in the body such as bladder, ureter, bronchial and gallbladder. Diagnosis is based on gastrointestinal endoscopy and blood tests to detect gene mutations. Excessive colonoscopy polyps is the most common treatment.

digestive tube polyps cause many dangerous complications for patients such as gastrointestinal bleeding, bowel obstruction, most dangerous, is cancer. The most common complication is intestinal obstruction due to the large size of the polyp block at 43%, of which the intestinal cage accounts for 5 - 16% of patients and accounts for 1% of the causes of intestinal obstruction. The intestinal cage is common in the position of the lacquer and the ileum with the types of navy, reverberation, ileum, healing colon . Gastrointestinal bleeding in 14% of patients leads to iron deficiency anemia.

Patient gastrointestinal polyps is likely to develop into hamarartomatous tumors, may be benign or cancer, in the digestive tract or in other organs such as breast tumors. . The possibility of cancer when there are more than 3 polyps is 15-20%, large polyps on 1cm size is 10-15%.  

Causes of Digestive tube polyps's disease

PJS syndrome is a genetic syndrome on normal chromosomes, because the STK11 gene is mutated. Parents have a gastrointestinal polyp can be inherited to their children at a rate of 50%. Patients with Genes Gen11 mutations are at risk of colorectal cancer and other cancers. However, a few cases recorded the PJS syndrome that is not related to the STK11 gene mutation.

Symptoms of Digestive tube polyps's disease

Symptoms of the gastrointestinal duct include:

  • Change the color in the mucosa and skin: There are brown or gray pigments in the mouth, on the gums, lips and skin covering the fingers or toes. P>
  • Abdominal pain, often pain in the style of cramps
  • Periodic stomach in 95% of stomach polyps
  • Nausea, vomiting
  • Bloody defecation in the stool: Fresh blood or black stool, the smell depends on the location of bleeding in high or low gastrointestinal tract.

    • For cases of intestinal complications, patients will encounter signs:

  • Sudden, more intense abdominal pain. If the patient is a child, he often sees a crying, waking up at night, puffing out, leaving. The pain lasts for about 10 minutes, can be lost suddenly if the cage tufts self -remove.
  • Vomiting a lot, sometimes vomiting green fluid, yellow fluid, the patient feels bitter taste in the mouth.
  • Bloody stool bowel: may be fresh, dark or dark, and mucus. When the blood is not seen in the stool, the naked eye cannot conclude in the stool without blood. This is a late sign, heavier prognosis.
  • secret - defecation if completely intestinal obstruction
  • Touch the cage block: long, mobile block, density, pain when pressing.
  • The whole body is tired, sometimes high fever if there is peritonitis.

    • More than two -thirds of patients with no clinical symptoms. Clinical symptoms usually only appear after 33 years old.

    People at risk for Digestive tube polyps's disease

    Causes of gastrointestinal polyps are due to genetic mutations, so those with relatives in the family are the most obvious risks, especially the relatives of the generation like parents, England. Sisters and children.

    Prevention of Digestive tube polyps's disease

    Prevention of gastrointestinal polyps and prevent complications of the disease play an important role. Preventive measures include:

  • Screening of cancers, related to PJS
  • Endoscopy upper gastrointestinal tract and lower gastrointestinal tract to detect tumor organizations or suspicious abnormal injuries. Starting gastrointestinal endoscopy from 10 years old to 30 years old with a frequency of 2 years. For those over 30 years old, conducting endoscopy every 1-2 years in combination with abdominal ultrasound.
  • Endoscopy should be done in the subjects: Chronic anemia for unknown reasons, abdominal pain in the navel, recurring, people over 50 or over 40 years old There are relatives with colorectal cancer or colorectal polyps.
  • Breast examination at home and mammography to screening breast cancer in women gastrointestinal polyps. Monthly, and go to the hospital for an annual breast examination. Mammography from 20 years old with a frequency of 2-3 years, and shooting annually from the age of 40 onwards.
  • Gynecological examination and screening tests such as pap smear, cervical ultrasound, uterus through vaginal lines, annual uterine biopsy, to early detection of losses Cancer Precision.
  • Cancer screening for men with gastrointestinal ducts : examination and ultrasound of testicular tests once a year.
  • Eat full of nutrients, do not smoke, do not abuse alcohol, eat lots of green vegetables and fruits, limit red meat and fat.

    • Diagnostic measures for Digestive tube polyps's disease

    Diagnostic gastrointestinal polyps is mainly based on endoscopic method gastrointestinal tract detecting scattered polyps in the digestive tract. Clinical symptoms such as abdominal pain, vomiting, bloody bowel movements combined with family history of families with infected people who play in suggestions. The number of polyps observed through gastrointestinal endoscopy can be up to dozens, hundreds, even thousands.

    The measure to help diagnose the disease is to take blood tests to find the Genes Gen11.

    Digestive tube polyps's disease treatments

    Excessive colonoscopy polyps is the most commonly applied treatment, which eliminates polyps and prevents polyp cancer complications. Treatment of laparoscopic polyps is mainly surgical. Patients often have surgery several times, may be opened or endoscopic polyps.

    Endoscopic polyps through endoscopy

    This is the most commonly applied technique in the gastrointestinal polyp treatment that many medical facilities across the country have the opportunity to implement. When proceeded, the doctor threw a soft endoscope through the nose and mouth into the gastrointestinal tract if it is a polyp cut stomach , or thread the endoscope through the back The subject is a polyp cut colon . Polyps are completely cut off from the mucosa gastrointestinal tract with electricity, so they minimize bleeding complications. Do not miss polyps, especially polyps colon because of the highest cancer. Gastrointestinal endoscopy can cut both stalks and stalk polyps.

    Excessive gastrointestinal polyps through endoscopy have more advantages over classic open surgery method:

  • Fast surgery time, on average about 50-90 minutes/patient.
  • Institute is shorter, recover faster. Sometimes patients do not need to be hospitalized, gastrointestinal polyps through endoscopy can be performed in outpatient medical facilities. Patients can return to daily life the next day.

    • Avoid a major surgery in patients with only 1 gastrointestinal polyps .

  • Early detection of suspected lesions for definitive treatment. Cancer colon is effective when conducting endoscopy.

    • However, not all patients with the gastrointestinal polyps are indicated for laparoscopic treatment. Contraindications include:

  • Peritonitis for intestinal perforation
  • Blood infection
  • Hemostatic disorders

    • Chronic pathology related to cardiovascular respiration

    complications of gastrointestinal polyps through endoscopy :

  • Bleeding: Hematuria treatment, resuscitation to ensure the total condition for the patient. If unsuccessful, hemostatic surgery is required
  • Perpetual: If a large perforation of holes must conduct hemostatic surgery.
    • Open surgery to treat gastrointestinal polyps

    open surgery is applied to cut large polyps, or in cases where a bowel is removed. An intestinal surgery is usually indicated in cases of complications such as necrotic gangitis cage causing peritonitis, gastrointestinal bleeding does not respond to endoscopic intervention, or when cancer polyps. Surgery is also applied to treat the gastrointestinal cancer such as breast cancer in women and testicular cancer in men. Common complications after surgery include intestinal adhesion, short intestine, affecting the eating and health of the patient.  

    Summary digestive tube polyps can progress from benign to malignant. People with the gastrointestinal polyps need to be examined and removed from polyps, screening and preventing cancer. Doctors need advice to family members to visit and screen to detect disease and prevent complications.

    See also:

  • Polyps - Watch out for
  • Colicitis and chronic spasmic colitis are the same?
  • Advantages of gastroscopy and colonoscopy with anesthesia
  • What is laparoscopic surgery? Why is laparoscopic surgery increasingly popular?
  • colonoscopy - The key to early detection of colon cancer
  • Methods of diagnosis of colon cancer

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