Colon polyps secondary prevention: Difference between revisions
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(Created page with "__NOTOC__ {{Colon polyps}} {{CMG}}; {{AE}} {{SSH}} ==Overview== Effective measures for the secondary prevention of colon polyps include [strategy 1], [strategy 2], and [strat...") |
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*Effective measures for the secondary prevention of colon polyps include: | *Effective measures for the secondary prevention of colon polyps include: | ||
**Surveillance after finding polyps on routine screening | **Surveillance after finding polyps on routine screening | ||
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" | |||
! colspan="3" |Baseline colonoscopy | |||
!Recommendation | |||
|- | |||
| colspan="3" |No [[Polyp|polyps]] | |||
|[[Colonoscopy]] every 10 years | |||
|- | |||
| rowspan="18" |[[Polyp|Polyps]] | |||
|Hyperplastic [[Polyp|polyps]] | |||
|Size <10 mm | |||
|[[Colonoscopy]] every 10 years | |||
|- | |||
| rowspan="8" |Adenomatous [[Polyp|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 | |||
|- | |||
| rowspan="4" |Second adenomatous [[Polyp|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 | |||
|- | |||
| rowspan="5" | Serrated [[Polyp|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== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 21:32, 28 December 2017
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Colon polyps secondary prevention On the Web |
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American Roentgen Ray Society Images of Colon polyps secondary prevention |
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Risk calculators and risk factors for Colon polyps secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Effective measures for the secondary prevention of colon polyps include [strategy 1], [strategy 2], and [strategy 3].
Secondary Prevention
- Effective measures for the secondary prevention of colon polyps include:
- Surveillance after finding polyps on routine screening
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
- ↑ 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.
- ↑ 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
- ↑ 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.