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KMID : 0359020120450010044
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Korean Journal of Gastrointestinal Endoscopy
2012 Volume.45 No. 1 p.44 ~ p.61
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Korean Guidelines for Postpolypectomy Colonoscopy Surveillance
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Yang Dong-Hoon
Hong Sung-Noh
Kim Young-Ho
Hong Sung-Pil
Shin Sung-Jae
Kim Seong-Eun
Lee Bo-In
Lee Suck-Ho
Park Dong-Il
Kim Hyun-Soo
Yang Suk-Kyun
Kim Hyo-Jong
Kim Se-Hyung
Kim Hyun-Jung
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Abstract
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Postpolypectomy surveillance has become a major indication for colonoscopy as a result of increased use of screening colonoscopy in Korea. In this report, a careful analytic approach was used to address all available evidences to delineate the predictors for advanced neoplasia at surveillance colonoscopy and we elucidated the high risk findings of the index colonoscopy as follows: 3 or more adenomas, any adenoma larger than 10 mm, any tubulovillous or villous adenoma, any adenoma with high-grade dysplasia, and any serrated polyps larger than 10 mm. Surveillance colonoscopy should be performed five years after the index colonoscopy for those without any high-risk findings and three years after the index colonoscopy for those with one or more high risk findings. However, the surveillance interval can be shortened considering the quality of the index colonoscopy, the completeness of polypectomy, the patient’s general condition, and family and medical history.
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KEYWORD
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Guideline, Colonoscopy, Colorectal neoplasms, Surveillance, Polypectomy
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