Optimizing post‐polypectomy surveillance: A practical guide for the endoscopist

Abstract

Several gastrointestinal societies strongly recommend colonoscopy surveillance after endoscopic and surgical resection of colorectal neoplasms. Common denominators to these recommendations include: high-quality baseline colonoscopy before inclusion in a surveillance program; risk stratification based on clinicopathological profiles to guide surveillance intervals; and endoscopist responsibility for providing surveillance advice. Considerable variability also exists between guidelines (i.e. regarding risk classification and surveillance intervals). In this review, we examine key factors for quality of post-polypectomy surveillance practice, in particular bowel preparation, endoscopic findings at baseline examination and adherence to surveillance recommendations. Frequently asked questions by the practising endoscopist are addressed.

Three-year colonoscopy surveillance after polypectomy in Korea: a Korean Association for the Study of Intestinal Diseases (KASID) multicenter prospective study

“…Current Western guidelines have recommended colonoscopy surveillance intervals according to the risk stratification of patients based on the findings at baseline colonoscopy. 6 According to U.S. guidelines, surveillance colonoscopy should be repeated at 10 years for patients with no neoplasia at baseline, at 5 to 10 years for low-risk patients with 1 or 2 small (<10 mm) tubular adenomas, and at 3 years for high-risk patients with advanced neoplasia or more than 2 adenomas. 7 However, to date, few studies have evaluated colonoscopy surveillance after polypectomy in Asia.…”