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 Journal Article
| Authors: | Brooks, D. D.; Winawer, S. J.; Rex, D. K.; Zauber, A. G.; Kahi, C. J.; Smith, R. A.; Levin, B.; Wender, R. |
| Article Title: | 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 |
| 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. Copyright © 2008 American Academy of Family Physicians. |
| Keywords: | cancer surgery; review; united states; follow up; colorectal cancer; health survey; practice guideline; colorectal neoplasms; utilization review; colonoscopy; colorectal adenoma; colorectal tumor; colon resection; population surveillance; polypectomy; colon polyp; colonic polyps; rectum resection; adenomatous polyp; dysplasia; non profit organization; adenomatous polyps; american cancer society; endoscopic submucosal dissection |
| Journal Title: | American Family Physician |
| Volume: | 77 |
| Issue: | 7 |
| ISSN: | 0002-838X |
| Publisher: | American Academy of Family Physicians |
| Date Published: | 2008-04-01 |
| Start Page: | 995 |
| End Page: | 1002+1003 |
| Language: | English |
| PUBMED: | 18441865 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 11" - "Export Date: 17 November 2011" - "CODEN: AFPYA" - "Source: Scopus" |
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