{"id":7345,"date":"2020-02-24T12:50:53","date_gmt":"2020-02-24T11:50:53","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=7345"},"modified":"2020-02-24T12:51:29","modified_gmt":"2020-02-24T11:51:29","slug":"updated-postpolypectomy-surveillance-recommendations-of-the-multi-society-task-force","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/updated-postpolypectomy-surveillance-recommendations-of-the-multi-society-task-force\/","title":{"rendered":"Updated Postpolypectomy Surveillance Recommendations of the Multi-Society Task Force"},"content":{"rendered":"\n<p><em><strong>Douglas K. Rex, MD, FASGE, reviewing Gupta S, et al. Gastroenterology 2020 Feb 7.<\/strong><\/em><\/p>\n\n\n\n<p>The U.S. Multi-Society Task Force on Colorectal Cancer has updated its recommendations for postpolypectomy surveillance. This is the first update since 2012.&nbsp;<\/p>\n\n\n\n<p>Key recommendations in the update include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommendations assume adequate bowel preparation and performance of a high-quality baseline colonoscopy by an endoscopist with an adenoma detection rate (ADR) above recommended thresholds.<\/li><li>Postpolypectomy surveillance intervals should be based on the following criteria:<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>Patients with 1 or 2 tubular adenomas sized &lt;10 mm: 7 to 10 years.<\/li><li>Patients with 3 or 4 tubular adenomas &lt;10 mm: 3 to 5 years.\u00a0<\/li><li>Those with 5 to 10 tubular adenomas &lt;10 mm: 3 years.<\/li><li>Patients with >10 adenomas on a single exam: 1 year.<\/li><li>Those with 1 or 2 sessile serrated polyps (SSPs) &lt;10 mm: 5 to 10 years.<\/li><li>Patients with hyperplastic polyps \u226510 mm: 3 to 5 years.<\/li><li>Those with advanced adenomas, SSPs \u226510 mm, dysplastic SSPs, or traditional serrated\u00a0adenomas: 3 years.<\/li><li>Patients who underwent piecemeal resection of an adenoma or SSP \u226520 mm: 6 months.<\/li><\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-pullquote\" style=\"border-color:#bd6fb7\"><blockquote><p> COMMENT<br>These recommendations are slightly more complex than previous ones, reflecting an evidence base that has grown in complexity.\u00a0\u00a0<\/p><p>The most significant change is the move to 7 to 10 years for the group with 1 or 2 tubular adenomas &lt;10 mm, which was 5 to 10 years in the last version. This group constitutes about two-thirds of the adenoma-bearing cohort. Considerable evidence suggests that the right interval for this group is 10 years. However, the interval of 7 to 10 years allows flexibility because, in recent studies, this cohort had a similar risk of cancer as the group with no adenomas, but the cohort was exposed to more surveillance colonoscopy.\u00a0<\/p><p>The group with 1 or 2 small SSPs &lt;10 mm retains a 5- to 10-year interval because the evidence base to support expansion of the interval is more limited.\u00a0<\/p><p>Combined with improvement in colonoscopy detection, these guidelines represent an important advance in improving the cost effectiveness of colonoscopy practice.<\/p><\/blockquote><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made. <\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide\" style=\"grid-template-columns:27% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"188\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/d-rex.jpg\" alt=\"\" class=\"wp-image-5921\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-large-font-size\">Douglas K. Rex, MD, FASGE <\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">CITATION(S) <\/h2>\n\n\n\n<p>Gupta S, Lieberman D, Anderson JC, et al. Recommendations for follow-up after colonoscopy and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer.\u00a0<em>Gastroenterology<\/em>\u00a02020 Feb 7. (Epub ahead of print) (<a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.1053\/j.gastro.2019.10.026\" target=\"_blank\">https:\/\/doi.org\/10.1016\/j.gie.2020.01.014<\/a>) <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Douglas K. Rex, MD, FASGE, reviewing Gupta S, et al. Gastroenterology 2020 Feb 7. The U.S. Multi-Society Task Force on Colorectal Cancer has updated its recommendations for postpolypectomy surveillance. This is the first update since 2012.&nbsp; Key recommendations in the update include: The recommendations assume adequate bowel preparation and performance of a high-quality baseline colonoscopy &#8230; <a title=\"Updated Postpolypectomy Surveillance Recommendations of the Multi-Society Task Force\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/updated-postpolypectomy-surveillance-recommendations-of-the-multi-society-task-force\/\" aria-label=\"Read more about Updated Postpolypectomy Surveillance Recommendations of the Multi-Society Task Force\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[1903,1902],"class_list":["post-7345","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-postpolypectomy-surveillance","tag-tubular-adenomas"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/7345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=7345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=7345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=7345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}