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| Topic: |
digestive diseases (dd) |
| Title: |
Post-Polypectomy Surveillance: Who and How. |
| Author: |
Young, G.P. |
| Source: |
Practical Gastroenterology. 31(7): 19-25. July 2007. |
| Abstract: |
The most common neoplastic lesions found during screening tests are colorectal adenomas; their presence indicates a possible increased risk for future colorectal neoplasia. This article considers the guidelines for postpolypectomy surveillance of these patients. The author notes that high-quality baseline colonoscopy with excellent preparation, adequate examination, and complete polypectomy will reduce miss rates and should be the basis of any program of follow-up. Findings at baseline colonoscopy can be used to predict future risk and thus recommended surveillance intervals. High-risk adenomas justify a surveillance interval of 3 years; for those with one or two tubular adenomas, an interval of 5 to 10 years is adequate. Hyperplastic polyps warrant only an average-risk screening program. The author concludes that the implementation of these guidelines could free up procedures to support screening programs. 1 figure. 1 table. 11 references. |
| Format: |
Journal Article |
| Language: |
English. |
| Major Keywords: |
Digestive System Diseases. Polyps. Diagnostic Tests. Screening. Colonoscopy. Patient Selection. Guidelines. |
| Minor Keywords: |
Risk Factors. Colon Cancer. Follow Up of Treatment. Patient Care Management. |
| Publication Number: |
DDJA12957. |
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