Colonoscopy surveillance after polypectomy may be extended beyond five years

Journal of Clinical Gastroenterology
Hannah L MillerAnil B Nagar

Abstract

Colonoscopy surveillance interval data longer than 5 years are limited. We examined adenoma yield to identify factors that predict appropriate intervals for postpolypectomy surveillance greater than 5 years, including risk of advanced adenoma recurrence. We identified patients with and without adenomas on an index colonoscopy who returned at 5 to 10 years for a follow-up colonoscopy. Multivariate logistic regression was used to identify variables that predict finding an adenoma on follow-up colonoscopy. Three hundred ninety-nine patients were identified with a follow-up colonoscopy at an interval of >5 years. Irrespective of surveillance interval, adenoma incidence occurred in 116 patients (29.1%) with 25 (6%) having advanced adenomas. Patients with nonadvanced adenomas on index colonoscopy had a similar risk of advanced adenoma on follow-up colonoscopy at 5 years versus 6 to 10 years, 5% versus 6.2% (P=0.39). The risk of advanced adenoma at 5 and 6 to 10 years in patients with a negative index colonoscopy was 7% versus 3.6% (P=0.15). Patients with an advanced adenoma at index colonoscopy had the highest rate of advanced adenoma detection at 5 years at 26%. Proximal polyp location (odds ratio 12.4, confidence interval 2.7-56.7)...Continue Reading

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Citations

Oct 13, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Mengque XuBangmao Wang
Dec 17, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A ArezzoY Saito
Apr 7, 2016·Current Medical Research and Opinion·Jinma RenSrinivas Puli
Jul 25, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Hermann BrennerMichael Hoffmeister
Feb 16, 2018·Gastroenterology Research and Practice·Erika S BoroffFrancisco C Ramirez
Aug 1, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Masau SekiguchiTakahisa Matsuda
Feb 27, 2018·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Jian DongQiong Nan
Oct 29, 2019·The American Journal of Gastroenterology·Audrey H CalderwoodDouglas J Robertson
Jan 24, 2019·European Journal of Gastroenterology & Hepatology·Erin L SymondsPeter Bampton
Nov 15, 2019·BMJ : British Medical Journal·Thomas HeisserHermann Brenner

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