Recommended intervals between screening and surveillance colonoscopies

Area of Science:

• Gastroenterology
• Oncology
• Preventive Medicine

Background:

• Colonoscopy is the primary method for colorectal cancer screening and surveillance.
• Recent guideline updates highlight the significance of sessile serrated lesions in colorectal cancer development.
• Awareness of updated screening and surveillance recommendations is crucial for healthcare providers.

Purpose of the Study:

• To review and summarize the latest guidelines for screening and surveillance colonoscopy.
• To emphasize the role of sessile serrated lesions in colorectal cancer.
• To provide evidence-based recommendations for colonoscopy intervals.

Main Methods:

• A comprehensive literature search of PubMed was conducted for articles and guidelines on colorectal polyp and serrated adenoma screening and surveillance.
• The search included terms such as 'colorectal cancer screening,' 'colonoscopy,' 'guidelines,' 'colorectal polyps,' and 'colorectal surveillance.'
• The most recent guidelines and relevant articles were selected for this review.

Main Results:

• The review discusses the foundational principles of screening and surveillance colonoscopy.
• It addresses the updated recommendations, particularly concerning sessile serrated lesions.
• Specific recommendations for colonoscopy intervals are provided based on current guidelines.

Conclusions:

• Adherence to updated screening and surveillance colonoscopy guidelines is essential.
• Recognizing the importance of sessile serrated lesions improves colorectal cancer detection and prevention.
• Optimizing colonoscopy practices enhances patient safety and healthcare resource utilization.