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Riktlinjer för endoskopisk kontroll efter kolorektal polypektomi

Thorlacius, Henrik LU ; Björk, Jan ; Öst, Åke and Toth, Ervin LU (2017) In Läkartidningen 114(20-21).
Abstract

These guidelines for endoscopic surveillance after colorectal polypectomy are based on the recommendations published by European Society of Gastrointestinal Endoscopy (ESGE) in 2013. A precondition for the guidelines is that patients have undergone a high-quality colonoscopy, including complete removal and histopathological evaluation of all detected neoplastic lesions. Current research has made it possible to stratify patients into a low-risk and a high-risk group in terms of metachronous cancer. Low-risk group patients (1-2 tubular adenomas <10 mm in size) are recommended a surveillance colonoscopy 10 years after the index colonoscopy if the patient is less than 50 years old, otherwise not. High-risk group patients (adenomas with... (More)

These guidelines for endoscopic surveillance after colorectal polypectomy are based on the recommendations published by European Society of Gastrointestinal Endoscopy (ESGE) in 2013. A precondition for the guidelines is that patients have undergone a high-quality colonoscopy, including complete removal and histopathological evaluation of all detected neoplastic lesions. Current research has made it possible to stratify patients into a low-risk and a high-risk group in terms of metachronous cancer. Low-risk group patients (1-2 tubular adenomas <10 mm in size) are recommended a surveillance colonoscopy 10 years after the index colonoscopy if the patient is less than 50 years old, otherwise not. High-risk group patients (adenomas with villous histology or high grade dysplasia or ≥10 mm in size, or ≥ 3 adenomas), should undergo a repetition colonoscopy 3 years after the index colonoscopy. If high-risk adenomas are detected at first or subsequent surveillance colonoscopy, a 3-year repetition of the next endoscopic examination is recommended. If a high-risk patient has no high-risk adenomas at the first surveillance colonoscopy, a 5-year period is recommended until the second surveillance colonoscopy. ESGE recommends termination of the follow-up at 80 years of age although individualised recommendations should consider general health and comorbidity of the patients as well as findings at previous colonoscopies.

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author
; ; and
alternative title
Endoscopic surveillance after colorectal polypectomy
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
114
issue
20-21
publisher
Swedish Medical Association
external identifiers
  • scopus:85019912114
ISSN
0023-7205
language
Swedish
LU publication?
no
id
6f27cdfb-d2ba-470f-880f-cfbc2ea92fc0
date added to LUP
2017-06-16 13:41:45
date last changed
2025-10-14 10:32:32
@article{6f27cdfb-d2ba-470f-880f-cfbc2ea92fc0,
  abstract     = {{<p>These guidelines for endoscopic surveillance after colorectal polypectomy are based on the recommendations published by European Society of Gastrointestinal Endoscopy (ESGE) in 2013. A precondition for the guidelines is that patients have undergone a high-quality colonoscopy, including complete removal and histopathological evaluation of all detected neoplastic lesions. Current research has made it possible to stratify patients into a low-risk and a high-risk group in terms of metachronous cancer. Low-risk group patients (1-2 tubular adenomas &lt;10 mm in size) are recommended a surveillance colonoscopy 10 years after the index colonoscopy if the patient is less than 50 years old, otherwise not. High-risk group patients (adenomas with villous histology or high grade dysplasia or ≥10 mm in size, or ≥ 3 adenomas), should undergo a repetition colonoscopy 3 years after the index colonoscopy. If high-risk adenomas are detected at first or subsequent surveillance colonoscopy, a 3-year repetition of the next endoscopic examination is recommended. If a high-risk patient has no high-risk adenomas at the first surveillance colonoscopy, a 5-year period is recommended until the second surveillance colonoscopy. ESGE recommends termination of the follow-up at 80 years of age although individualised recommendations should consider general health and comorbidity of the patients as well as findings at previous colonoscopies.</p>}},
  author       = {{Thorlacius, Henrik and Björk, Jan and Öst, Åke and Toth, Ervin}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  month        = {{05}},
  number       = {{20-21}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Riktlinjer för endoskopisk kontroll efter kolorektal polypektomi}},
  volume       = {{114}},
  year         = {{2017}},
}