Clinical practice guidelines for Surveillance Colonoscopy
From Cancer Guidelines Wiki
Contents
Summary of recommendations (Printable version)
Advances in colonoscopy, CT colonography and other methods
Colonoscopic surveillance after polypectomy
- Adenomas and risk of developing colorectal cancer
- Polypectomy
- Malignant polyps
- Follow-up surveillance for adenomas
Clinical questions:
- What should be the surveillance colonoscopy for patients at low risk (1-2 small tubular <10mm adenomas)?
- What should be the surveillance colonoscopy for patients at high risk (>2 and ≥10mm adenomas or with HGD)?
- What should be the surveillance colonoscopy following sessile and laterally spreading adenomas?
- What should be the surveillance colonoscopy following following resection of serrated adenomas (SA) and sessile serrated adenomas (SSA)?
- What should be the surveillance colonoscopy for patients with adenoma multiplicity with or without polyposis syndrome?
- What should be the surveillance colonoscopy for patients with family history?
- What should be the surveillance colonoscopy for patients with previous neoplasia history?
The role of surveillance colonoscopy after curative resection for colorectal cancer
Clinical questions:
- What is the role of pre or peri-operative colonoscopy in CRC patients?
- Which patients should be followed up with surveillance colonoscopy?
- What is the overall effectiveness of surveillance colonoscopy following resection for colorectal cancer?
- What should be the follow-up colonoscopy for patients after CRC resection?
Colonoscopic surveillance and management of dysplasia in inflammatory bowel disease (IBD)
Clinical questions:
- Should patients with ulcerative colitis undergo surveillance colonoscopy?
- What are clinical and endoscopic predictors of CRC in IBD?
- When should surveillance colonoscopy be initiated for ulcerative colitis and Crohn’s patients, for ulcerative colitis and Crohn’s patients who have primary sclerosing cholangitis detection, for ulcerative colitis and Crohn’s patients with a strong family history?
- What is the most appropriate time interval for surveillance in IBD patients?
- What is the recommended technique for surveillance in IBD patients?
- What should be the follow-up for patients with Crohn’s disease?
- What should be the protocol to manage elevated dysplasia in IBD?
- What should be the protocol to manage high grade dysplasia in IBD?
- What should be the protocol to manage low grade dysplasia in IBD?
- What should be the protocol to manage indefinite dysplasia in IBD?
Psychosocial aspects
Clinical questions:
Compliance with surveillance colonoscopy
Socio-economic factors
Clinical questions:
- What is the impact and nature of socioeconomic status (SES)?
- Are there any specific results of lower socioeconomic status (SES) and CRC and polyps and inflammatory bowel disease (IBD)?
- Does lower socioeconomic status (SES) have to result in poorer outcome for curative resection for colonic cancer?
- What colonoscopic surveillance is available to indigenous people for CRC resection, polyp removal, inflammatory bowel disease (IBD)?
Economic considerations
- Economic burden of colorectal cancer in Australia
- Economic evaluation
- Cost and cost-effectiveness of colonoscopy follow-up strategies after curative resection for colorectal cancer
- Cost and cost-effectiveness of colonoscopy follow-up strategies after removal of adenomas
- Costs and cost-effectiveness of colonoscopy follow-up strategies in ulcerative colitis
- Cost-effectiveness analysis of proposed surveillance guidelines
