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colonoscopy with polypectomy

Indications: - colonic polyps Management: - patients with normal colonoscopy, or with <= 20 hyperplastic polyps < 10 mm, should undergo surveillance in 10 years [2] - patients with 1-2 adenomas < 10 mm should undergo surveillance colonoscopy in 7-10 years; if 3-4 adenomas < 10 mm, surveillance should occur in 3-5 years - patients with 5-10 adenomas, adenom >= 10 mm, or adenoma with villous component or high grade dysplasia should undergo surveillance colonoscopy in 3 years - patients with > 10 adenomas should return for surveillance in 1 year, with consideration for genetic testing based on adenoma burden, age, & family history - in case of piecemeal resection of adenoma >= 20 mm, surveillance colonoscopy should occur in 6 months, then 1 year later, then 3 years after the 2nd examination - patients with 1-2 sessile serrated polyps < 10 mm should undergo surveillance colonoscopy in 5-10 years; in those with 3-4sessile serrated polyps < 10 mm or hyperplastic polyp >=10 mm, surveillance should occur in 3-5 years - patients with 5-10 sessile serrated polyps, sessile serrated polyps >= 10 mm, sessile serrated polyp with dysplasia or traditional serrated adenoma should undergo surveillance in 3 years. [2]

Related

colorectal polyp

General

colonoscopy intestinal polypectomy

References

  1. Zauber AG, Winawer SJ, O'Brien MJ et al Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med. 2012 Feb 23;366(8):687-96. PMID: 22356322
  2. Gupta S, Lieberman D, Anderson JC et al. Recommendations for follow-up after colonoscopy and polypectomy: A consensus update by the U S Multi-Society Task Force on Colorectal Cancer. Gastroenterology 2020 Feb 7 PMID: 32044106 https://www.gastrojournal.org/article/S0016-5085(19)41479-0/fulltext