Riktlinjer för endoskopisk kontroll efter kolorektal polypektomi
(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.
(Less)
- author
- Thorlacius, Henrik LU ; Björk, Jan ; Öst, Åke and Toth, Ervin LU
- alternative title
- Endoscopic surveillance after colorectal polypectomy
- publishing date
- 2017-05-16
- 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
- 2022-02-14 20:07:44
@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 <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}}, }