Colon polyps screening

Colon polyps Microchapters
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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.

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:

Baseline colonoscopy			Recommendation	Alternative
		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
	Serrated polyps	Sessile serrated polyp(s) <10 mm with no dysplasia	Colonoscopy every 5 years
		Sessile serrated polyp(s) ≥10 mm  OR  Sessile serrated polyp with dysplasia  OR  Traditional serrated adenoma