Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Follow-up after polypectomy: consensus?

J H Bond1

  • 1Gastroenterology Section (111D), VA Medical Center, Minneapolis, Minnesota 55417, USA.

European Journal of Cancer (Oxford, England : 1990)
|July 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Risk factors for severe delayed postpolypectomy bleeding.

Endoscopy·2008
Same author

FOBT is not an effective way to screen for gastric cancer.

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·2007
Same author

Quality in the technical performance of screening flexible sigmoidoscopy: recommendations of an international multi-society task group.

Gut·2005
Same author

Colon polyps and cancer.

Endoscopy·2005
Same author

Update on colorectal polyps: management and follow-up surveillance.

Endoscopy·2003
Same author

Colon polyps and cancer.

Endoscopy·2003

Patients with resected colorectal adenomas need tailored surveillance due to increased cancer risk. Risk factors like multiple or large adenomas, villous tissue, severe dysplasia, or family history guide follow-up colonoscopy schedules.

Area of Science:

  • Gastroenterology
  • Oncology
  • Preventive Medicine

Background:

  • Patients with resected colorectal adenomas face a higher risk of developing subsequent colorectal cancer.
  • Effective surveillance strategies are crucial for early detection and prevention of metachronous neoplasia.

Purpose of the Study:

  • To outline risk-stratified surveillance strategies for patients following colorectal adenoma resection.
  • To emphasize the importance of tailoring follow-up colonoscopy schedules based on individual patient risk factors.

Main Methods:

  • Review of long-term follow-up studies on metachronous neoplasia after adenoma resection.
  • Analysis of data from the U.S. National Polyp Study regarding polyp resection and surveillance effectiveness.
  • Incorporation of current data into a comprehensive consensus practice guideline.

Related Experiment Videos

Main Results:

  • Risk of metachronous neoplasia is elevated with multiple adenomas, large adenomas (≥1 cm), villous tissue, severe dysplasia, or a family history of colorectal neoplasia.
  • Polyp resection and surveillance significantly reduce the incidence of metachronous colorectal cancer.
  • The first follow-up colonoscopy can be safely delayed up to 3 years post-resection.

Conclusions:

  • Individualized surveillance protocols are essential for optimizing outcomes in patients with a history of colorectal adenoma.
  • Evidence supports the efficacy of surveillance in preventing metachronous colorectal cancer.
  • Consensus guidelines provide a framework for implementing risk-stratified surveillance strategies.