Korean Guidelines for Postpolypectomy Colonoscopy Surveillance.
- Author:
Dong Hoon YANG
1
;
Sung Noh HONG
;
Young Ho KIM
;
Sung Pil HONG
;
Sung Jae SHIN
;
Seong Eun KIM
;
Bo In LEE
;
Suck Ho LEE
;
Dong Il PARK
;
Hyun Soo KIM
;
Suk Kyun YANG
;
Hyo Jong KIM
;
Se Hyung KIM
;
Hyun Jung KIM
Author Information
- Publication Type:Review
- Keywords: Guideline; Colonoscopy; Colorectal neoplasms; Surveillance; Polypectomy
- MeSH: Adenoma; Adenoma, Villous; Colonoscopy; Colorectal Neoplasms; Humans; Korea; Mass Screening; Polyps
- From:Clinical Endoscopy 2012;45(1):44-61
- CountryRepublic of Korea
- Language:English
- Abstract: Postpolypectomy surveillance has become a major indication for colonoscopy as a result of increased use of screening colonoscopy in Korea. In this report, a careful analytic approach was used to address all available evidences to delineate the predictors for advanced neoplasia at surveillance colonoscopy and we elucidated the high risk findings of the index colonoscopy as follows: 3 or more adenomas, any adenoma larger than 10 mm, any tubulovillous or villous adenoma, any adenoma with high-grade dysplasia, and any serrated polyps larger than 10 mm. Surveillance colonoscopy should be performed five years after the index colonoscopy for those without any high-risk findings and three years after the index colonoscopy for those with one or more high risk findings. However, the surveillance interval can be shortened considering the quality of the index colonoscopy, the completeness of polypectomy, the patient's general condition, and family and medical history.
