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PubMed · 7577009

Follow-up after polypectomy: consensus?

J H Bond
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Abstract

Patients who have had a colorectal adenoma resected have an increased risk of subsequent cancer and may benefit from follow-up surveillance. Surveillance strategies should be tailored to the assessed risk of each individual patient. A number of long-term follow-up studies indicate that the risk of metachronous neoplasia is higher if on index colonoscopy there were multiple (> or = 2) adenomas, or if any adenoma was large (> or = 1 cm), contained villous tissue or severe dysplasia, or if the patient had a family history of colorectal neoplasia. Data from the U.S. National Polyp Study indicate that polyp resection and follow-up surveillance greatly reduces the incidence of metachronous cancer, and that the first follow-up colonoscopy does not need to be performed for 3 years. Current data have been incorporated into a comprehensive consensus practice guideline.

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AdenomaClinical ProtocolsColonoscopyColorectal NeoplasmsCost-Benefit AnalysisHumansIntestinal PolypsLong-Term CareJournal ArticleReview

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J H Bond. Follow-up after polypectomy: consensus?. https://doi.org/10.1016/0959-8049(95)00163-d

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