Colonoscopy surveillance: guidelines for polyps and IBD.

Colonoscopy surveillance: guidelines for polyps and IBD. Minerva Gastroenterol Dietol. 2016 Mar 4; Authors: Senore C, Lorenzetti R, Bellisario C, Hassan C Abstract Evidence on the optimal post-polypectomy surveillance strategies for subjects undergoing colorectal cancer screening as well as among IBD patients, is limited. In the absence of strong evidence, currently adopted guidelines are mainly based on experts' opinion and low quality data and they are often influenced by a safety-first approach and are not consistent. Given the lack of conclusive data from randomized controlled trials and uncertainty about the extent of risk of adenoma patients developing CRC in the future, there is uncertainty regarding cost-effectiveness of surveillance protocols. This may partly explain discrepancies in guidelines recommendations, with regard to definition of risk categories and of the recommended surveillance intervals. Uncertainty persists concerning management of patients with small advanced adenomas (size <10 mm and villous component >20% and/or high-grade dysplasia), high risk adenomas and serrated polyps. The findings of surveys conducted in clinical settings and population screening programmes are showing a wide variability in the recommended surveillance protocols. To be able to adopt an evidence bases approach additional information is needed about the risk of CRC and / or advanced adenomas with and without surveillance, as well ...
Source: Minerva Gastroenterologica e Dietologica - Category: Gastroenterology Tags: Minerva Gastroenterol Dietol Source Type: research