Optimizing post‐polypectomy surveillance: A practical guide for the endoscopist. Issue 3 (11th August 2015)

• Record Type: Journal Article
• Authors: Bogie, Roel; Sanduleanu, Silvia
• Is Part Of: Digestive endoscopy. Volume 28:Issue 3(2016)
• Page Start: 348
• Page End: 359
• Publication Date: 2015-08-11
• Subjects: colonoscopy -- colorectal cancer -- colorectal neoplasm -- colorectal polyp -- surveillance; Digestive organs -- Diseases -- Periodicals; Digestive organs -- Diseases -- Diagnosis -- Periodicals; Endoscopy -- Periodicals; Digestive System Diseases -- diagnosis -- Periodicals; Digestive System Diseases -- therapy -- Periodicals; Endoscopy -- Periodicals; 616.3
• DOI: 10.1111/den.12510
• Languages: English
• ISSNs: 0915-5635

Abstract

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.