Initial management and follow-up surveillance of patients with colorectal adenomas Journal Article
| Authors: | Zauber, A. G.; Winawer, S. J. |
| Article Title: | Initial management and follow-up surveillance of patients with colorectal adenomas |
| Abstract: | The clinical management of patients with adenomas is interesting because of the adenomas' malignant potential, the availability of effective intervention by colonoscopy, and the increasing number of patients having adenomas detected and removed. The current literature on follow-up surveillance is reviewed, and surveillance intervals are suggested based on data from the National Polyp Study. Patients newly diagnosed with three or more adenomas, an adenoma of more than 0.5 cm, or with a family history of colorectal cancer should have surveillance colonoscopy at 3 years following the polypectomy. Surveillance of patients with single, small tubular adenomas can be extended to 5 or more years. Patients with large sessile or malignant adenomas need to have follow-up earlier. Identification and removal of adenomatous polyps have been shown to reduce colorectal cancer incidence. |
| Keywords: | disease course; review; follow up; preoperative evaluation; colorectal cancer; mass screening; time; colorectal neoplasms; adenoma; colonoscopy; population surveillance; polypectomy; adenomatous polyp; humans; human |
| Journal Title: | Gastroenterology Clinics of North America |
| Volume: | 26 |
| Issue: | 1 |
| ISSN: | 0889-8553 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1997-03-01 |
| Start Page: | 85 |
| End Page: | 101 |
| Language: | English |
| DOI: | 10.1016/s0889-8553(05)70285-5 |
| PUBMED: | 9119442 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Review -- Export Date: 17 March 2017 -- Source: Scopus |
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