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Practice Guideline
. 2020 Mar;158(4):1131-1153.e5.
doi: 10.1053/j.gastro.2019.10.026. Epub 2020 Feb 7.

Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer

Samir Gupta  1 , David Lieberman  2 , Joseph C Anderson  3 , Carol A Burke  4 , Jason A Dominitz  5 , Tonya Kaltenbach  6 , Douglas J Robertson  7 , Aasma Shaukat  8 , Sapna Syngal  9 , Douglas K Rex  10
Affiliations
Practice Guideline

Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer

Samir Gupta et al. Gastroenterology. 2020 Mar.
No abstract available

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Conflict of interest statement

Conflicts of interest

The authors disclose no conflicts of interest relative to the current work since 2016. Industry relationships for authors (consulting, research, reimbursement) without conflict of interest relevant to the current work since 2016: Douglas K. Rex (Olympus, Boston Scientific, Covidien, Lumendi, Salix, Aries, Cook Medical, ERBE, Bausch Health Inc, Novo Nordisk, Endochoice, Braintree Laboratories, Norgine, Endokey, EndoAid, Medivators, Satisfai Health); Sapna Syngal (Chirhoclin, Cook, Myriad Genetics, Inc, DC Health, Inc); David Lieberman (Covidien, Freenome Holdings, Inc, Ironwood, Check-Cap, CEGX); Douglas Robertson (Covidien, Freenome Holdings, Inc, Amadix); Tonya Kaltenbach (Aries Pharmaceuticals, Micro-Tech Endoscopy, Olympus, Boston Scientific, Medtronic); Aasma Shaukat (None); Samir Gupta (Freenome Holdings, Inc, Guardant Health, Inc, Mallinckrodt Pharmaceuticals); Carol Burke (Salix Pharmaceuticals, Ferring Pharmaceuticals, Aries Pharmaceuticals, Intuitive Surgical, Pfizer, Covidien, Boston Scientific, US Endoscopy, Abbvie Cancer Prevention Pharmaceuticals, Janssen Pharmaceuticals; SLA Pharma AG; Freenome Holdings, Inc). Jason Dominitz (None); Joseph C. Anderson (None).

Figures

Figure 1.
Figure 1.
Recommendations for follow-up after colonoscopy and polypectomy. Recommendations for post-colonoscopy follow-up in average risk adults are depicted. After high-quality colonoscopy defined by examination complete to cecum adequate to detect polyps >5 mm, performed by a colonoscopist with adequate ADR with complete polyp resection, risk-stratified repeat colonoscopy intervals are provided. SSP, sessile serrated polyp/sessile serrated adenoma/sessile serrated lesion.
Figure 2.
Figure 2.
Risk for metachronous advanced neoplasia among individuals with normal colonoscopy, 1–2 adenomas <10 mm in size, or high-risk adenoma (adenoma >10 mm in size, adenoma with tubulovillous/villous histology, adenoma with high-grade dysplasia or ≥3 adenomas <10 mm) based on a meta-analysis of 10,139 across 8 surveillance studies is depicted. Risk for metachronous adenoma among individuals with no adenoma or 1–2 small adenomas is similar, and much lower than risk among individuals with baseline high-risk adenoma. In studies that defined high risk as advanced adenoma alone (n = 4 studies), cumulative advanced adenoma risk was 16% (95% CI, 9%–25%), and in studies that defined high risk as advanced adenoma or ≥3 adenomas <10 mm (n = 4 studies), cumulative advanced adenoma risk was 19% (95% CI, 10%–30%; C Dube, personal communication, September 18, 2018).
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