Colonoscopy surveillance after polypectomy and colorectal cancer resection.

Colonoscopy surveillance after polypectomy and colorectal cancer resection. Research Abstract Details 

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Colonoscopy surveillance after polypectomy and colorectal cancer resection. Abstract Text:

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.

Colonoscopy surveillance after polypectomy and colorectal cancer resection. Publishing Authors By Initials

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Colonoscopy surveillance after polypectomy and colorectal cancer resection. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: American family physician

VOLUME: 77

Page Numbers: 995-1002

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ISSN: 0002-838X

DAY: 1

MONTH: Apr

YEAR: 2008

Colonoscopy surveillance after polypectomy and colorectal cancer resection. Information

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LANGUAGE: eng

NlmUniqueID: 1272646

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AFFILIATION: American Cancer Society, Atlanta, Georgia, USA.

Country: United States

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MEDLINETA: Am Fam Physician

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