Colorectal Polyps in Patients with Limited Life Expectancy

Dr. Jabed Ahmed and Dr. Ravi Ranjan discuss colorectal polyps in patients with limited life expectancy. The bowel cancer screening strategies rely on the long time a polyp takes before progressing to cancer by early detection and removal of polyps. Although polypectomy comes with risks of some significant complications  the risk is deemed small compared to the benefit of cancer prevention. This risk benefit equation changes in patients with advanced age or multiple co-morbidities  This new BSG ACP guidance developed by a multidisciplinary guidance development group aims to provide a structural framework to support clinicians and the patients in decision making in such situations. Dr. Ranjan is a Consultant physician and gastroenterologist at University Hospital of North Tees and completeing his MD at Newcastle University. He also coordinated the a BSG/ACPGBI guidance. Video Interview with Dr. Ahmed and Dr. Ranjan: Colorectal polyps in patients with limited life expectancy Chapters (00:00:09) - BSG Guidelines on management of colorectal polyps(00:01:50) - Polypectomy Guidance for elderly patients(00:07:58) - Colorectal cancer: non-invasive investigations and outcomes(00:10:55) - Charleston Comorbidity Index(00:14:19) - How did you calculate the average annual cancer transition rate for polyp(00:18:52) - Polypectomy 14, Risk of cancer and complication(00:22:05) - Role specific recommendations for polyp MDT 1(00:23:56) - Polypectomy 14, Risk of cancer and adverse events(00:26:44) - Clinical guidance on polyp and management(00:30:02) - Colonoscopy: New Guidance for polyps