Endoscopy 2020; 52(08): 687-700
DOI: 10.1055/a-1185-3109
Guideline

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

Cesare Hassan
 1   Gastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy
,
Giulio Antonelli
 1   Gastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy
,
Jean-Marc Dumonceau
 2   Gastroenterology Service, Hôpital Civil Marie Curie, Charleroi, Belgium
,
Jaroslaw Regula
 3   Centre of Postgraduate Medical Education and Maria Sklodowska-Curie Memorial Cancer Centre, Institute of Oncology, Warsaw, Poland
,
Michael Bretthauer
 4   Clinical Effectiveness Research Group, Oslo University Hospital and University of Oslo, Norway
,
Stanislas Chaussade
 5   Gastroenterology and Endoscopy Unit, Faculté de Médecine, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), Université Paris Descartes, France
,
Evelien Dekker
 6   Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands
,
Monika Ferlitsch
 7   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
,
Antonio Gimeno-Garcia
 8   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
,
Rodrigo Jover
 9   Service of Digestive Medicine, Alicante Institute for Health and Biomedical Research (ISABIAL Foundation), Alicante, Spain
,
Mette Kalager
 4   Clinical Effectiveness Research Group, Oslo University Hospital and University of Oslo, Norway
,
Maria Pellisé
10   Gastroenterology Department, Endoscopy Unit, ICMDiM, Hospital Clinic, CIBEREHD, IDIBAPS, University of Barcelona, Catalonia, Spain
,
Christian Pox
11   Department of Medicine, St. Joseph Stift, Bremen, Germany
,
Luigi Ricciardiello
12   Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, Bologna, Italy
,
Matthew Rutter
13   Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, UK and Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK
,
Lise Mørkved Helsingen
 4   Clinical Effectiveness Research Group, Oslo University Hospital and University of Oslo, Norway
,
Arne Bleijenberg
 6   Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands
,
Carlo Senore
14   Epidemiology and screening Unit – CPO, Città della Salute e della Scienza University Hospital, Turin, Italy
,
Jeanin E. van Hooft
 6   Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands
,
Mario Dinis-Ribeiro
15   CIDES/CINTESIS, Faculty of Medicine, University of Porto, Porto, Portugal
,
Enrique Quintero
 8   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
› Institutsangaben
Preview

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]).

Appendix 1s – 3s



Publikationsverlauf

Artikel online veröffentlicht:
22. Juni 2020

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