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Digestive Diseases and Sciences
Published in:

09-07-2022 | Colonoscopy | Editorial

Surveillance of Non-advanced Adenomas: Small May Be Big

Authors: Xiang Liu, Joseph C. Anderson

Published in: Digestive Diseases and Sciences | Issue 1/2023

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Excerpt

Screening colonoscopy with polypectomy reduces the incidence and mortality of colorectal cancer (CRC) [1]. After polypectomy, surveillance colonoscopies are recommended to ensure protection from CRC in patients with index polyps [2]. The majority of surveillance colonoscopies are performed for non-advanced adenomas (NAA) (tubular adenomas < 1 cm). Since the detection of these lesions is increasing due to improvements in technology and attention to endoscopic and prep quality, determining appropriate surveillance intervals for individuals with these index NAA, which offer maximal protection while minimizing exposure to unnecessary surveillance exams is essential [3]. …
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Zauber AG, Winawer SJ, O’Brien MJ et al. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med 2012;366:687–696.CrossRef
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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. Gastrointest Endosc 2020;91:e5.
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Anderson JC, Rex DK, Robinson C et al. Association of small versus diminutive adenomas and the risk for metachronous advanced adenomas: data from the New Hampshire Colonoscopy Registry. Gastrointest Endosc 2019;90:495–501.CrossRef
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Winawer SJ, Fletcher RH, Miller L et al. Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology 1997;112:594–642.CrossRef
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Winawer SJ, Zauber AG, Fletcher RH et al. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. Gastroenterology 2006;130:1872–1885.CrossRef
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Dube C, Yakubu M, McCurdy BR et al. Risk of advanced adenoma, colorectal cancer, and colorectal cancer mortality in people with low-risk adenomas at baseline colonoscopy: a systematic review and meta-analysis. Am J Gastroenterol 2017;112:1790–1801.CrossRef
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Hassan C, Gimeno-Garcia A, Kalager M et al. Systematic review with meta-analysis: the incidence of advanced neoplasia after polypectomy in patients with and without low-risk adenomas. Aliment Pharmacol Ther 2014;39:905–912.CrossRef
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Click B, Pinsky PF, Hickey T et al. Association of colonoscopy adenoma findings with long-term colorectal cancer incidence. JAMA 2018;319:2021–2031.CrossRef
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Kim NH, Jung YS, Park JH et al. Risk of developing metachronous advanced colorectal neoplasia after resection of low-risk diminutive versus small adenomas. Gastrointest Endosc 2020;91:622–630.CrossRef
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Anderson JC, Baron JA, Ahnen DJ et al. Factors associated with shorter colonoscopy surveillance intervals for patients with low-risk colorectal adenomas and effects on outcome. Gastroenterology 2017;152:e5.
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Anderson JC, Butterly LF, Robinson CM et al. Impact of fair bowel preparation quality on adenoma and serrated polyp detection: data from the New Hampshire colonoscopy registry by using a standardized preparation-quality rating. Gastrointest Endosc 2014;80:463–470.CrossRef
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Butterly L, Robinson CM, Anderson JC et al. Serrated and adenomatous polyp detection increases with longer withdrawal time: results from the New Hampshire Colonoscopy Registry. Am J Gastroenterol 2014;109:417–426.CrossRef
Metadata
Title
Surveillance of Non-advanced Adenomas: Small May Be Big
Authors
Xiang Liu
Joseph C. Anderson
Publication date
09-07-2022
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 1/2023
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-022-07612-7

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