Postpolypectomy and post-cancer resection surveillance

Douglas Rex

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Recent guidelines on postpolypectomy surveillance have focused on identifying patients with adenomas who are at high risk for development of significant neoplasms (cancer or "advanced adenoma") after clearing colonoscopy and should undergo frequent follow-up examinations and those at low risk who require infrequent follow-up examinations. This article reviews the guideline recommendations from the American College of Gastroenterology, American Gastroenterological Association consortium, and the American Cancer Society, and discusses the rationale for the recommended intervals of colonoscopic examinations in low and high-risk postpolypectomy patients. When colorectal cancer is identified, the initial colonoscopic goal in the peri-operative period is to clear the colon of synchronous neoplasms. After this is accomplished, the goal shifts to performance of colonoscopy at intervals that are appropriate for prevention and early detection of second cancers. These intervals often approximate those used in postpolypectomy surveillance. An exception to this approach is patients with rectal cancer operated by traditional blunt dissection techniques, for which there is a rationale for interval flexible sigmoidoscopy and/or rectal ultrasound to look for local recurrences.

Original languageEnglish
Pages (from-to)202-209
Number of pages8
JournalReviews in Gastroenterological Disorders
Volume3
Issue number4
StatePublished - Sep 2003

Fingerprint

Colonoscopy
Adenoma
Multiple Primary Neoplasms
Guidelines
Sigmoidoscopy
Neoplasms
Second Primary Neoplasms
Rectal Neoplasms
Early Detection of Cancer
Colonic Neoplasms
Dissection
Colorectal Neoplasms
Recurrence

Keywords

  • Adenoma
  • Colon cancer
  • Colonoscopy
  • Postpolypectomy
  • Rectal cancer

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Postpolypectomy and post-cancer resection surveillance. / Rex, Douglas.

In: Reviews in Gastroenterological Disorders, Vol. 3, No. 4, 09.2003, p. 202-209.

Research output: Contribution to journalArticle

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