Colonoscopy surveillance after polypectomy and colorectal cancer resection: Consensus guidelines from the U.S. Multi-Society Task Force on Colorectal Cancer and the American Cancer Society

Durado D. Brooks, Sidney J. Winawer, Douglas K. Rex, Ann G. Zauber, Charles J. Kahi, Robert A. Smith, Bernard Levin, Richard Wender

Research output: Contribution to journalReview article

29 Scopus citations

Abstract

This article describes a joint update of guidelines by the American Cancer Society and the U.S. Multi-Society Task Force on Colorectal Cancer delineating evidence-based surveillance recommendations for patients after polypectomy and colorectal cancer resection. Although there are some qualifying conditions, the following general guidelines apply: after colonoscopic polypectomy, patients with hyperplastic polyps should be considered to have normal colonoscopies, and subsequent colonoscopy is recommended at 10 years. Patients with one or two small (less than 1 cm) tubular adenomas, including those with only low-grade dysplasia, should have their next colonoscopy in five to 10 years. Patients with three to 10 adenomas, any adenoma 1 cm or larger, or any adenoma with villous features or high-grade dysplasia should have their next colonoscopy in three years. Following curative resection of colorectal cancer, patients should undergo a colonoscopy at one year, with subsequent follow-up intervals determined by the results of this examination. Adoption of these guidelines will have a dramatic impact on the quality of care provided to patients after a colorectal cancer diagnosis, will assist in shifting available resources from intensive surveillance to screening, and will ultimately decrease suffering and death related to colorectal cancer.

Original languageEnglish (US)
Pages (from-to)995-1002+1003-1004
JournalAmerican family physician
Volume77
Issue number7
StatePublished - Apr 1 2008

ASJC Scopus subject areas

  • Family Practice

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