Colonoscopic follow-up of adenomas and colorectal cancer.
Increasing experience with colonoscopy has altered recommendations for the frequency of follow-up surveillance examinations for adenomatous polyps and colorectal cancer. Current recommendations include a follow-up colonoscopy at 1 year for patients with more than two adenomatous or highly suggestive polyps and after curative surgery for colorectal cancer. Other patients can safely receive a follow-up colonoscopy at longer intervals of 3 years. Published data and a review of the Ochsner Clinic experience are presented to support these recommendations.
Beck
D E
DE
Department of Colon and Rectal Surgery, Ochsner Clinic, New Orleans, LA 70121, USA.
Opelka
F G
FG
Hicks
T C
TC
Timmcke
A E
AE
Khoury
D A
DA
Gathright
J B
JB
D000236:Adenoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D018256:Adenomatous Polyps / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D003111:Colonic Polyps / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003113:Colonoscopy / Q000191:economics; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003362:Cost-Benefit Analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male