Colon polyps screening: Difference between revisions

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==Overview==
==Overview==


There is insufficient evidence to recommend routine screening for colon polyps.
There is insufficient evidence to recommend routine [[Screening (medicine)|screening]] for colon polyps. According to the guidelines [[Screening (medicine)|screening]] for the colon polyps must be done earlier after the first colon polyps are discovered. Hyperplastic [[Polyp|polyps]] have no [[malignant]] tendency and recommendation for the [[colonoscopy]] is similar to general population. Adenomatous and serrated [[Polyp|polyps]] have [[Cancer|neoplastic]] nature and must be followed every 3-5 years.  
==Screening==
==Screening==


*There is insufficient evidence to recommend routine screening for colon polyps in general population.
*There is insufficient evidence to recommend routine [[Screening (medicine)|screening]] for colon polyps in general population.
*According to guidelines for colonoscopy surveillance after screening and polypectomy by the US Multi-Society Task Force on Colorectal Cancer recommendations for surveillance and screening are as follows:<ref name="pmid22763141">{{cite journal |vauthors=Lieberman DA, Rex DK, Winawer SJ, Giardiello FM, Johnson DA, Levin TR |title=Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer |journal=Gastroenterology |volume=143 |issue=3 |pages=844–857 |year=2012 |pmid=22763141 |doi=10.1053/j.gastro.2012.06.001 |url=}}</ref><ref>National Guideline Clearinghouse (NGC). Guideline summary: Follow-up of colorectal polyps or cancer. In: National Guideline Clearinghouse (NGC) [Web site]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2013 Jan 16. [cited 2017 Dec 28]. Available: https://www.guideline.gov</ref>
*According to guidelines for [[colonoscopy]] surveillance after [[Screening (medicine)|screening]] and [[polypectomy]] by the US Multi-Society Task Force on Colorectal Cancer, recommendations for surveillance and [[Screening (medicine)|screening]] are as follows:<ref name="pmid22763141">{{cite journal |vauthors=Lieberman DA, Rex DK, Winawer SJ, Giardiello FM, Johnson DA, Levin TR |title=Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer |journal=Gastroenterology |volume=143 |issue=3 |pages=844–857 |year=2012 |pmid=22763141 |doi=10.1053/j.gastro.2012.06.001 |url=}}</ref><ref>National Guideline Clearinghouse (NGC). Guideline summary: Follow-up of colorectal polyps or cancer. In: National Guideline Clearinghouse (NGC) [Web site]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2013 Jan 16. [cited 2017 Dec 28]. Available: https://www.guideline.gov</ref><ref name="pmid28555630">{{cite journal |vauthors=Rex DK, Boland CR, Dominitz JA, Giardiello FM, Johnson DA, Kaltenbach T, Levin TR, Lieberman D, Robertson DJ |title=Colorectal Cancer Screening: Recommendations for Physicians and Patients from the U.S. Multi-Society Task Force on Colorectal Cancer |journal=Am. J. Gastroenterol. |volume=112 |issue=7 |pages=1016–1030 |year=2017 |pmid=28555630 |doi=10.1038/ajg.2017.174 |url=}}</ref>
{| class="wikitable"
{| class="wikitable"
! colspan="3" |Baseline colonoscopy
! colspan="3" |Baseline colonoscopy
!Recommendation
!Recommendation
|-
|-
| colspan="3" |No polyps
! colspan="3" |No [[Polyp|polyps]]
|Colonoscopy every 10 years
|[[Colonoscopy]] every 10 years
|-
|-
| rowspan="18" |Polyps
! rowspan="18" |[[Polyp|Polyps]]
|Hyperplastic polyps
!Hyperplastic [[Polyp|polyps]]
|Size <10 mm
|Size <10 mm
|Colonoscopy every 10 years
|[[Colonoscopy]] every 10 years
|-
|-
| rowspan="8" |Adenomatous polyps
! rowspan="8" |Adenomatous [[Polyp|polyps]]
|1-2 tubular adenomas <10 mm
|1-2 tubular adenomas <10 mm
|Colonoscopy every 5-10 years
|[[Colonoscopy]] every 5-10 years
|-
|-
|3-10 tubular adenomas <10 mm
|3-10 tubular adenomas <10 mm
|Colonoscopy every 3 years
|[[Colonoscopy]] every 3 years
|-
|-
|>10 adenomas
|>10 adenomas
|Colonoscopy <3 years
|[[Colonoscopy]] <3 years
|-
|-
|Tubular adenomas ≥10 mm
|Tubular adenomas ≥10 mm
|Colonoscopy every 3 years
|[[Colonoscopy]] every 3 years
|-
|-
|Villous adenomas
|Villous adenomas
|Colonoscopy every 3 years
|[[Colonoscopy]] every 3 years
|-
|-
|Adenoma with high grade dysplasia
|Adenoma with high grade dysplasia
|Colonoscopy every 3 years
|[[Colonoscopy]] every 3 years
|-
|-
|No adenoma after first low-risk adenoma
|No adenoma after first low-risk adenoma
|Colonoscopy every 10 years
|[[Colonoscopy]] every 10 years
|-
|-
|No adenoma after first high-risk adenoma
|No adenoma after first high-risk adenoma
|Colonoscopy every 5 years
|[[Colonoscopy]] every 5 years
|-
|-
| rowspan="4" |Second adenomatous polyps
! rowspan="4" |Second adenomatous [[Polyp|polyps]]
|Second low-risk adenoma
|Second low-risk adenoma
|Colonoscopy after 5 years
|[[Colonoscopy]] after 5 years
|-
|-
|High-risk adenoma following low-risk adenoma
|High-risk adenoma following low-risk adenoma
|Colonoscopy after 3 years
|[[Colonoscopy]] every 3 years
|-
|-
|Low-risk adenoma following high-risk adenoma
|Low-risk adenoma following high-risk adenoma
|Colonoscopy after 5 years
|[[Colonoscopy]] after 5 years
|-
|-
|Second high-risk adenoma
|Second high-risk adenoma
|Colonoscopy after 3 years
|[[Colonoscopy]] every 3 years
|-
|-
| rowspan="5" | Serrated polyps
! rowspan="5" | Serrated [[Polyp|polyps]]
|Sessile serrated polyp(s) <10 mm with no dysplasia
|Sessile serrated polyp(s) <10 mm with no dysplasia
|Colonoscopy every 5 years
|[[Colonoscopy]] every 5 years
|-
|-
|Sessile serrated polyp(s) ≥10 mm 
|Sessile serrated polyp(s) ≥10 mm 
|Colonoscopy every 3 years
|[[Colonoscopy]] every 3 years
|-
|-
|Sessile serrated polyp with dysplasia 
|Sessile serrated polyp with dysplasia 
|Colonoscopy every 3 years
|[[Colonoscopy]] every 3 years
|-
|-
|Traditional serrated adenoma
|Traditional serrated adenoma
|Colonoscopy every 3 years
|[[Colonoscopy]] every 3 years
|-
|-
|Serrated polyposis syndrome
|Serrated polyposis syndrome
|Colonoscopy every year
|[[Colonoscopy]] every year
|}
|}


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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{{WH}}
[[Category:Medicine]]
{{WS}}
[[Category:Gastroenterology]]
[[Category: (name of the system)]]
[[Category:Up-To-Date]]

Latest revision as of 21:01, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

There is insufficient evidence to recommend routine screening for colon polyps. According to the guidelines screening for the colon polyps must be done earlier after the first colon polyps are discovered. Hyperplastic polyps have no malignant tendency and recommendation for the colonoscopy is similar to general population. Adenomatous and serrated polyps have neoplastic nature and must be followed every 3-5 years.

Screening

  • There is insufficient evidence to recommend routine screening for colon polyps in general population.
  • According to guidelines for colonoscopy surveillance after screening and polypectomy by the US Multi-Society Task Force on Colorectal Cancer, recommendations for surveillance and screening are as follows:[1][2][3]
Baseline colonoscopy Recommendation
No polyps Colonoscopy every 10 years
Polyps Hyperplastic polyps Size <10 mm Colonoscopy every 10 years
Adenomatous polyps 1-2 tubular adenomas <10 mm Colonoscopy every 5-10 years
3-10 tubular adenomas <10 mm Colonoscopy every 3 years
>10 adenomas Colonoscopy <3 years
Tubular adenomas ≥10 mm Colonoscopy every 3 years
Villous adenomas Colonoscopy every 3 years
Adenoma with high grade dysplasia Colonoscopy every 3 years
No adenoma after first low-risk adenoma Colonoscopy every 10 years
No adenoma after first high-risk adenoma Colonoscopy every 5 years
Second adenomatous polyps Second low-risk adenoma Colonoscopy after 5 years
High-risk adenoma following low-risk adenoma Colonoscopy every 3 years
Low-risk adenoma following high-risk adenoma Colonoscopy after 5 years
Second high-risk adenoma Colonoscopy every 3 years
 Serrated polyps Sessile serrated polyp(s) <10 mm with no dysplasia Colonoscopy every 5 years
Sessile serrated polyp(s) ≥10 mm  Colonoscopy every 3 years
Sessile serrated polyp with dysplasia  Colonoscopy every 3 years
Traditional serrated adenoma Colonoscopy every 3 years
Serrated polyposis syndrome Colonoscopy every year

References

  1. ↑ Lieberman DA, Rex DK, Winawer SJ, Giardiello FM, Johnson DA, Levin TR (2012). "Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer". Gastroenterology. 143 (3): 844–857. doi:10.1053/j.gastro.2012.06.001. PMID 22763141.
  2. ↑ National Guideline Clearinghouse (NGC). Guideline summary: Follow-up of colorectal polyps or cancer. In: National Guideline Clearinghouse (NGC) [Web site]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2013 Jan 16. [cited 2017 Dec 28]. Available: https://www.guideline.gov
  3. ↑ Rex DK, Boland CR, Dominitz JA, Giardiello FM, Johnson DA, Kaltenbach T, Levin TR, Lieberman D, Robertson DJ (2017). "Colorectal Cancer Screening: Recommendations for Physicians and Patients from the U.S. Multi-Society Task Force on Colorectal Cancer". Am. J. Gastroenterol. 112 (7): 1016–1030. doi:10.1038/ajg.2017.174. PMID 28555630.

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