Colon polyps screening: Difference between revisions
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! colspan="3" |Baseline colonoscopy | ! colspan="3" |Baseline colonoscopy | ||
!Recommendation | !Recommendation | ||
|- | |- | ||
| | | colspan="3" |No polyps | ||
|No polyps | |||
|Colonoscopy every 10 years | |Colonoscopy every 10 years | ||
|- | |- | ||
|Polyps | | rowspan="18" |Polyps | ||
|Hyperplastic polyps | |Hyperplastic polyps | ||
|Size <10 mm | |Size <10 mm | ||
|Colonoscopy every 10 years | |Colonoscopy every 10 years | ||
|- | |- | ||
| | | rowspan="8" |Adenomatous polyps | ||
|Adenomatous 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 | ||
| Serrated polyps | |Colonoscopy every 10 years | ||
|- | |||
|No adenoma after first high-risk adenoma | |||
|Colonoscopy every 5 years | |||
|- | |||
| rowspan="4" |Second adenomatous polyps | |||
|Second low-risk adenoma | |||
|Colonoscopy after 5 years | |||
|- | |||
|High-risk adenoma following low-risk adenoma | |||
|Colonoscopy after 3 years | |||
|- | |||
|Low-risk adenoma following high-risk adenoma | |||
|Colonoscopy after 5 years | |||
|- | |||
|Second high-risk adenoma | |||
|Colonoscopy after 3 years | |||
|- | |||
| rowspan="5" | Serrated 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 | ||
|} | |} | ||
Revision as of 01:58, 28 December 2017
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Colon polyps Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Colon polyps screening On the Web |
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American Roentgen Ray Society Images of Colon polyps screening |
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Risk calculators and risk factors for Colon polyps screening |
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:[1]
| 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 after 3 years | ||
| Low-risk adenoma following high-risk adenoma | Colonoscopy after 5 years | ||
| Second high-risk adenoma | Colonoscopy after 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
- ↑ 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.