Surveillance Colonoscopy After Polypectomy—Current Evidence and Future Directions
Department
Medicine
Document Type
Article
Publication Title
Techniques and Innovations in Gastrointestinal Endoscopy
Abstract
Colorectal cancer (CRC) incidence continues to steadily rise in various parts of the world, and there remains an urgent need for effective interventions to tackle this. Effective and timely implementation of CRC screening interventions and adherence to post polypectomy surveillance recommendations remain paramount. Colonoscopy is the gold standard for timely diagnosis and removal of precursor lesions or polyps to CRC; however, patient uptake and cost effectiveness, especially in the era of noninvasive testing strategies, require closer evaluation. Furthermore, the risk of progression to CRC varies with the morphology, size, and histology of colorectal polyps. Several colonoscopy-based resection techniques have been reported in literature to effectively and safely remove these precursor lesions. In this review, we summarize the current guidelines (US and Europe) and evidence for the effectiveness of post-polypectomy surveillance, resection, and surveillance for sessile serrated lesions. We also appraise the current literature regarding non-colonoscopy options for post colonoscopy surveillance, as well as interventions to boost adherence to surveillance.
First Page
269
Last Page
283
DOI
10.1016/j.tige.2023.02.004
Volume
25
Issue
3
Publication Date
7-2023
Recommended Citation
Chandan, S., Bapaye, J., Ramai, D., & Facciorusso, A. (2023). Surveillance Colonoscopy After Polypectomy—Current Evidence and Future Directions. Techniques and Innovations in Gastrointestinal Endoscopy, 25 (3), 269-283. https://doi.org/10.1016/j.tige.2023.02.004