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Riktlinjer för endoskopisk kontroll efter kolorektal polypektomi

Thorlacius, Henrik LU ; Björk, Jan; Öst, Åke and Toth, Ervin LU (2017) In Lakartidningen 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
alternative title
Endoscopic surveillance after colorectal polypectomy
publishing date
type
Contribution to journal
publication status
published
subject
in
Lakartidningen
volume
114
issue
20-21
publisher
Sveriges Läkarförbund
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
2017-06-16 13:41:45
@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    = {Sveriges Läkarförbund},
  series       = {Lakartidningen},
  title        = {Riktlinjer för endoskopisk kontroll efter kolorektal polypektomi},
  volume       = {114},
  year         = {2017},
}