The clinical significance of polyps of the large intestine has been discussed by many authors, and it is now generally accepted that many cancers develop from originally benign adenomatous polyps. For this reason, the recognition of these small growths is important for the prevention and cure of early malignant lesions of the large intestine. The recognition of colonic and rectal polyps depends on objective methods of examination. Since many polyps are located in the terminal 25 cm. of the intestine, routine employment of the proctoscope by the general practitioner in adult patients has been strongly recommended.
In diagnostic centers, the responsibility is greater and the visual inspection of the accessible large bowel should be supplemented by x-ray examination of the colon. This may pose peculiar problems of organization and timing. These problems can be solved through the cooperation of the clinical departments involved. The program of polyp detection developed at
Gianturco C, Miller GA. PROGRAM FOR THE DETECTION OF COLONIC AND RECTAL POLYPS. JAMA. 1953;153(16):1429–1430. doi:10.1001/jama.1953.02940330013004
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