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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