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Related Experiment Videos

Cap polyposis: further experience and review.

Kheng-Hong Ng1, Pawan Mathur, M Priyanthi Kumarasinghe

  • 1Department of Colorectal Surgery, Singapore General Hospital, Singapore.

Diseases of the Colon and Rectum
|May 28, 2004
PubMed
Summary

Cap polyposis, characterized by inflammatory polyps, is treatable. Solitary polyps respond to endoscopic polypectomy, while multiple polyps often require surgical intervention for good long-term outcomes.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pathology

Background:

  • Cap polyposis presents as inflammatory polyps with granulation tissue, potentially linked to chronic straining.
  • This study details the second-largest reported series of cap polyposis cases.

Purpose of the Study:

  • To review clinicopathologic features of cap polyposis.
  • To evaluate treatment outcomes for cap polyposis.

Main Methods:

  • Retrospective review of 11 patients with histologically proven cap polyposis.
  • MEDLINE search (1985-2002) and hand search for relevant literature.

Main Results:

  • Eleven cases (9 males, median age 20) diagnosed between 1993-2002.
  • Common symptoms included rectal bleeding and mucous diarrhea; chronic straining was noted in 64%.

Related Experiment Videos

  • Solitary polyps resolved with polypectomy; multiple polyps required surgery (anterior resection, transanal excision, or colectomy) with varied outcomes.

    • Conclusions:

    • Cap polyposis is a treatable condition with a favorable long-term prognosis.
    • Endoscopic polypectomy is effective for solitary polyps.
    • Surgical resection is indicated for multiple polyps and concurrent anorectal pathology.