Colon polyps screening

Colon polyps Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Colon polyps from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Guidelines for Management
Case Studies
Case #1
Colon polyps screening On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Colon polyps screening All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Colon polyps screening
CDC on Colon polyps screening
Colon polyps screening in the news
Blogs on Colon polyps screening
Directions to Hospitals Treating Colon polyps
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:

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