colonoscopy with polypectomy

Indications

• colonic polyps

Management

• patients with normal colonoscopy, or with <= 20 hyperplastic polyps < 10 mm, should undergo surveillance in 10 years
• patients with 1-2 adenomas < 10 mm should undergo surveillance colonoscopy in 7-10 years; if 3-4 adenomas < 10 mm, surveillance should occur in 3-5 years
• patients with 5-10 adenomas, adenom >= 10 mm, or adenoma with villous component or high grade dysplasia should undergo surveillance colonoscopy in 3 years
• patients with > 10 adenomas should return for surveillance in 1 year, with consideration for genetic testing based on adenoma burden, age, & family history
• in case of piecemeal resection of adenoma >= 20 mm, surveillance colonoscopy should occur in 6 months, then 1 year later, then 3 years after the 2nd examination
• patients with 1-2 sessile serrated polyps < 10 mm should undergo surveillance colonoscopy in 5-10 years; in those with 3-4sessile serrated polyps < 10 mm or hyperplastic polyp >=10 mm, surveillance should occur in 3-5 years
• patients with 5-10 sessile serrated polyps, sessile serrated polyps >= 10 mm, sessile serrated polyp with dysplasia or traditional serrated adenoma should undergo surveillance in 3 years.

More general terms

• colonoscopy
• intestinal polypectomy

Additional terms

• colorectal polyp