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Colorectal Neoplasms: Screening and Surveillance After Polypectomy

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Abstract

Screening for colorectal cancer in average-risk individuals begins at age 50 and may continue to age 75. Screening intervals vary according to personal and family history. A number of screening modalities now exist, though colonoscopy remains the gold standard as it is both diagnostic and therapeutic. Attention to quality improvement guidelines can enhance the efficacy of colonoscopy screening. Surveillance after colonoscopic polypectomy is dependent on polyp type, size, and number. Management considerations for occult carcinomas noted after polypectomy are based on histology and polyp morphology (sessile vs. pedunculated).

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  1. Department of Surgery, University of Wisconsin, School of Medicine and Public Health, 600 Highland Avenue, K4/7 CSC, Madison, WI, 53792-7375, USA

    Evie H. Carchman M.D. & Charles P. Heise M.D., F.A.C.S., F.A.S.C.R.S.

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  1. Evie H. Carchman M.D.
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  2. Charles P. Heise M.D., F.A.C.S., F.A.S.C.R.S.
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Correspondence to Charles P. Heise M.D., F.A.C.S., F.A.S.C.R.S. .

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Editors and Affiliations

  1. Division of Colorectal Surgery, University Hospitals Case Medical Center Case Western Reserve University, Cleveland, OH, USA

    Scott R. Steele

  2. Cleveland Clinic, Cleveland, OH, USA

    Tracy L. Hull

  3. Tufts University School of Medicine, Lahey Hospital & Medical Center, Burlington, MA, USA

    Thomas E. Read

  4. Ambrose and Gladys Bowyer, Loyola University, Chicago, IL, USA

    Theodore J. Saclarides

  5. University of Texas Medical Branch at Galveston, Galveston, TX, USA

    Anthony J. Senagore

  6. Ochsner Medical Center, New Orleans, LA, USA

    Charles B. Whitlow

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Carchman, E.H., Heise, C.P. (2016). Colorectal Neoplasms: Screening and Surveillance After Polypectomy. In: Steele, S.R., Hull, T.L., Read, T.E., Saclarides, T.J., Senagore, A.J., Whitlow, C.B. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25970-3_24

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