Post-polypectomy colonoscopy surveillance: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2020

Main Recommendations The following recommendations for post-polypectomy colonoscopic surveillance apply to all patients who had one or more polyps that were completely removed during a high quality baseline colonoscopy. 1 ESGE recommends that patients with complete removal of 1 – 4 < 10 mm adenom...

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Vydané v:	Endoscopy Ročník 52; číslo 8; s. 687 - 700
Hlavní autori:	Hassan, Cesare, Antonelli, Giulio, Dumonceau, Jean-Marc, Regula, Jaroslaw, Bretthauer, Michael, Chaussade, Stanislas, Dekker, Evelien, Ferlitsch, Monika, Gimeno-Garcia, Antonio, Jover, Rodrigo, Kalager, Mette, Pellisé, Maria, Pox, Christian, Ricciardiello, Luigi, Rutter, Matthew, Helsingen, Lise Mørkved, Bleijenberg, Arne, Senore, Carlo, van Hooft, Jeanin E., Dinis-Ribeiro, Mario, Quintero, Enrique
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Stuttgart · New York Georg Thieme Verlag KG 01.08.2020
Predmet:	Adenoma - diagnostic imaging Adenoma - surgery Colonic Polyps - diagnostic imaging Colonic Polyps - surgery Colonoscopy Endoscopy, Gastrointestinal Guideline Humans
ISSN:	0013-726X, 1438-8812, 1438-8812
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Abstract	Main Recommendations The following recommendations for post-polypectomy colonoscopic surveillance apply to all patients who had one or more polyps that were completely removed during a high quality baseline colonoscopy. 1 ESGE recommends that patients with complete removal of 1 – 4 < 10 mm adenomas with low grade dysplasia, irrespective of villous components, or any serrated polyp < 10 mm without dysplasia, do not require endoscopic surveillance and should be returned to screening. Strong recommendation, moderate quality evidence. If organized screening is not available, repetition of colonoscopy 10 years after the index procedure is recommended. Strong recommendation, moderate quality evidence. 2 ESGE recommends surveillance colonoscopy after 3 years for patients with complete removal of at least 1 adenoma ≥ 10 mm or with high grade dysplasia, or ≥ 5 adenomas, or any serrated polyp ≥ 10 mm or with dysplasia. Strong recommendation, moderate quality evidence. 3 ESGE recommends a 3 – 6-month early repeat colonoscopy following piecemeal endoscopic resection of polyps ≥ 20 mm. Strong recommendation, moderate quality evidence. A first surveillance colonoscopy 12 months after the repeat colonoscopy is recommended to detect late recurrence. Strong recommendation, high quality evidence. 4 If no polyps requiring surveillance are detected at the first surveillance colonoscopy, ESGE suggests to perform a second surveillance colonoscopy after 5 years. Weak recommendation, low quality evidence. After that, if no polyps requiring surveillance are detected, patients can be returned to screening. 5 ESGE suggests that, if polyps requiring surveillance are detected at first or subsequent surveillance examinations, surveillance colonoscopy may be performed at 3 years. Weak recommendation, low quality evidence. A flowchart showing the recommended surveillance intervals is provided (Fig. 1).
AbstractList	Main Recommendations The following recommendations for post-polypectomy colonoscopic surveillance apply to all patients who had one or more polyps that were completely removed during a high quality baseline colonoscopy. 1 ESGE recommends that patients with complete removal of 1 – 4 < 10 mm adenomas with low grade dysplasia, irrespective of villous components, or any serrated polyp < 10 mm without dysplasia, do not require endoscopic surveillance and should be returned to screening. Strong recommendation, moderate quality evidence. If organized screening is not available, repetition of colonoscopy 10 years after the index procedure is recommended. Strong recommendation, moderate quality evidence. 2 ESGE recommends surveillance colonoscopy after 3 years for patients with complete removal of at least 1 adenoma ≥ 10 mm or with high grade dysplasia, or ≥ 5 adenomas, or any serrated polyp ≥ 10 mm or with dysplasia. Strong recommendation, moderate quality evidence. 3 ESGE recommends a 3 – 6-month early repeat colonoscopy following piecemeal endoscopic resection of polyps ≥ 20 mm. Strong recommendation, moderate quality evidence. A first surveillance colonoscopy 12 months after the repeat colonoscopy is recommended to detect late recurrence. Strong recommendation, high quality evidence. 4 If no polyps requiring surveillance are detected at the first surveillance colonoscopy, ESGE suggests to perform a second surveillance colonoscopy after 5 years. Weak recommendation, low quality evidence. After that, if no polyps requiring surveillance are detected, patients can be returned to screening. 5 ESGE suggests that, if polyps requiring surveillance are detected at first or subsequent surveillance examinations, surveillance colonoscopy may be performed at 3 years. Weak recommendation, low quality evidence. A flowchart showing the recommended surveillance intervals is provided (Fig. 1). The following recommendations for post-polypectomy colonoscopic surveillance apply to all patients who had one or more polyps that were completely removed during a high quality baseline colonoscopy. 1: ESGE recommends that patients with complete removal of 1 - 4 < 10 mm adenomas with low grade dysplasia, irrespective of villous components, or any serrated polyp < 10 mm without dysplasia, do not require endoscopic surveillance and should be returned to screening.Strong recommendation, moderate quality evidence.If organized screening is not available, repetition of colonoscopy 10 years after the index procedure is recommended.Strong recommendation, moderate quality evidence. 2: ESGE recommends surveillance colonoscopy after 3 years for patients with complete removal of at least 1 adenoma ≥ 10 mm or with high grade dysplasia, or ≥ 5 adenomas, or any serrated polyp ≥ 10 mm or with dysplasia. Strong recommendation, moderate quality evidence. 3: ESGE recommends a 3 - 6-month early repeat colonoscopy following piecemeal endoscopic resection of polyps ≥ 20 mm.Strong recommendation, moderate quality evidence. A first surveillance colonoscopy 12 months after the repeat colonoscopy is recommended to detect late recurrence.Strong recommendation, high quality evidence. 4: If no polyps requiring surveillance are detected at the first surveillance colonoscopy, ESGE suggests to perform a second surveillance colonoscopy after 5 years. Weak recommendation, low quality evidence.After that, if no polyps requiring surveillance are detected, patients can be returned to screening. 5: ESGE suggests that, if polyps requiring surveillance are detected at first or subsequent surveillance examinations, surveillance colonoscopy may be performed at 3 years. Weak recommendation, low quality evidence.A flowchart showing the recommended surveillance intervals is provided (Fig. 1).The following recommendations for post-polypectomy colonoscopic surveillance apply to all patients who had one or more polyps that were completely removed during a high quality baseline colonoscopy. 1: ESGE recommends that patients with complete removal of 1 - 4 < 10 mm adenomas with low grade dysplasia, irrespective of villous components, or any serrated polyp < 10 mm without dysplasia, do not require endoscopic surveillance and should be returned to screening.Strong recommendation, moderate quality evidence.If organized screening is not available, repetition of colonoscopy 10 years after the index procedure is recommended.Strong recommendation, moderate quality evidence. 2: ESGE recommends surveillance colonoscopy after 3 years for patients with complete removal of at least 1 adenoma ≥ 10 mm or with high grade dysplasia, or ≥ 5 adenomas, or any serrated polyp ≥ 10 mm or with dysplasia. Strong recommendation, moderate quality evidence. 3: ESGE recommends a 3 - 6-month early repeat colonoscopy following piecemeal endoscopic resection of polyps ≥ 20 mm.Strong recommendation, moderate quality evidence. A first surveillance colonoscopy 12 months after the repeat colonoscopy is recommended to detect late recurrence.Strong recommendation, high quality evidence. 4: If no polyps requiring surveillance are detected at the first surveillance colonoscopy, ESGE suggests to perform a second surveillance colonoscopy after 5 years. Weak recommendation, low quality evidence.After that, if no polyps requiring surveillance are detected, patients can be returned to screening. 5: ESGE suggests that, if polyps requiring surveillance are detected at first or subsequent surveillance examinations, surveillance colonoscopy may be performed at 3 years. Weak recommendation, low quality evidence.A flowchart showing the recommended surveillance intervals is provided (Fig. 1). The following recommendations for post-polypectomy colonoscopic surveillance apply to all patients who had one or more polyps that were completely removed during a high quality baseline colonoscopy. 1: ESGE recommends that patients with complete removal of 1 - 4 < 10 mm adenomas with low grade dysplasia, irrespective of villous components, or any serrated polyp < 10 mm without dysplasia, do not require endoscopic surveillance and should be returned to screening.Strong recommendation, moderate quality evidence.If organized screening is not available, repetition of colonoscopy 10 years after the index procedure is recommended.Strong recommendation, moderate quality evidence. 2: ESGE recommends surveillance colonoscopy after 3 years for patients with complete removal of at least 1 adenoma ≥ 10 mm or with high grade dysplasia, or ≥ 5 adenomas, or any serrated polyp ≥ 10 mm or with dysplasia. Strong recommendation, moderate quality evidence. 3: ESGE recommends a 3 - 6-month early repeat colonoscopy following piecemeal endoscopic resection of polyps ≥ 20 mm.Strong recommendation, moderate quality evidence. A first surveillance colonoscopy 12 months after the repeat colonoscopy is recommended to detect late recurrence.Strong recommendation, high quality evidence. 4: If no polyps requiring surveillance are detected at the first surveillance colonoscopy, ESGE suggests to perform a second surveillance colonoscopy after 5 years. Weak recommendation, low quality evidence.After that, if no polyps requiring surveillance are detected, patients can be returned to screening. 5: ESGE suggests that, if polyps requiring surveillance are detected at first or subsequent surveillance examinations, surveillance colonoscopy may be performed at 3 years. Weak recommendation, low quality evidence.A flowchart showing the recommended surveillance intervals is provided (Fig. 1).
Author	Gimeno-Garcia, Antonio Quintero, Enrique Dumonceau, Jean-Marc Chaussade, Stanislas Bleijenberg, Arne Pellisé, Maria Pox, Christian van Hooft, Jeanin E. Antonelli, Giulio Regula, Jaroslaw Jover, Rodrigo Senore, Carlo Dinis-Ribeiro, Mario Kalager, Mette Dekker, Evelien Ferlitsch, Monika Ricciardiello, Luigi Bretthauer, Michael Rutter, Matthew Hassan, Cesare Helsingen, Lise Mørkved
Author_xml	– sequence: 1 givenname: Cesare surname: Hassan fullname: Hassan, Cesare organization: Nuovo Regina Margherita Hospital – sequence: 2 givenname: Giulio surname: Antonelli fullname: Antonelli, Giulio organization: Gastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy – sequence: 3 givenname: Jean-Marc surname: Dumonceau fullname: Dumonceau, Jean-Marc organization: Gastroenterology Service, Hôpital Civil Marie Curie, Charleroi, Belgium – sequence: 4 givenname: Jaroslaw surname: Regula fullname: Regula, Jaroslaw organization: Centre of Postgraduate Medical Education and Maria Sklodowska-Curie Memorial Cancer Centre, Institute of Oncology, Warsaw, Poland – sequence: 5 givenname: Michael surname: Bretthauer fullname: Bretthauer, Michael organization: Clinical Effectiveness Research Group, Oslo University Hospital and University of Oslo, Norway – sequence: 6 givenname: Stanislas surname: Chaussade fullname: Chaussade, Stanislas organization: Gastroenterology and Endoscopy Unit, Faculté de Médecine, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), Université Paris Descartes, France – sequence: 7 givenname: Evelien surname: Dekker fullname: Dekker, Evelien organization: Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands – sequence: 8 givenname: Monika surname: Ferlitsch fullname: Ferlitsch, Monika organization: Department of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University Vienna, and Quality Assurance Working Group, Austrian Society for Gastroenterology and Hepatology, Vienna, Austria – sequence: 9 givenname: Antonio surname: Gimeno-Garcia fullname: Gimeno-Garcia, Antonio organization: Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), Universidad de La Laguna, Tenerife, Spain – sequence: 10 givenname: Rodrigo surname: Jover fullname: Jover, Rodrigo organization: Service of Digestive Medicine, Alicante Institute for Health and Biomedical Research (ISABIAL Foundation), Alicante, Spain – sequence: 11 givenname: Mette surname: Kalager fullname: Kalager, Mette organization: Clinical Effectiveness Research Group, Oslo University Hospital and University of Oslo, Norway – sequence: 12 givenname: Maria surname: Pellisé fullname: Pellisé, Maria organization: Gastroenterology Department, Endoscopy Unit, ICMDiM, Hospital Clinic, CIBEREHD, IDIBAPS, University of Barcelona, Catalonia, Spain – sequence: 13 givenname: Christian surname: Pox fullname: Pox, Christian organization: Department of Medicine, St. Joseph Stift, Bremen, Germany – sequence: 14 givenname: Luigi surname: Ricciardiello fullname: Ricciardiello, Luigi organization: Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, Bologna, Italy – sequence: 15 givenname: Matthew surname: Rutter fullname: Rutter, Matthew organization: Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, UK and Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK – sequence: 16 givenname: Lise Mørkved surname: Helsingen fullname: Helsingen, Lise Mørkved organization: Clinical Effectiveness Research Group, Oslo University Hospital and University of Oslo, Norway – sequence: 17 givenname: Arne surname: Bleijenberg fullname: Bleijenberg, Arne organization: Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands – sequence: 18 givenname: Carlo surname: Senore fullname: Senore, Carlo organization: Epidemiology and screening Unit – CPO, Città della Salute e della Scienza University Hospital, Turin, Italy – sequence: 19 givenname: Jeanin E. surname: van Hooft fullname: van Hooft, Jeanin E. organization: Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands – sequence: 20 givenname: Mario surname: Dinis-Ribeiro fullname: Dinis-Ribeiro, Mario organization: CIDES/CINTESIS, Faculty of Medicine, University of Porto, Porto, Portugal – sequence: 21 givenname: Enrique surname: Quintero fullname: Quintero, Enrique organization: Gastroenterology Department, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) & Centro de Investigación Biomédica de Canarias (CIBICAN), Universidad de La Laguna, Tenerife, Spain
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32572858$$D View this record in MEDLINE/PubMed
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Copyright	Georg Thieme Verlag KG Stuttgart · New York.
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Snippet	Main Recommendations The following recommendations for post-polypectomy colonoscopic surveillance apply to all patients who had one or more polyps that were... The following recommendations for post-polypectomy colonoscopic surveillance apply to all patients who had one or more polyps that were completely removed...
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SubjectTerms	Adenoma - diagnostic imaging Adenoma - surgery Colonic Polyps - diagnostic imaging Colonic Polyps - surgery Colonoscopy Endoscopy, Gastrointestinal Guideline Humans
Title	Post-polypectomy colonoscopy surveillance: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2020
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