Colon surveillance after colorectal cancer surgery

Douglas Khoury, Frank G. Opelka, David E. Beck, Terry C. Hicks, Alan E. Timmcke, J. Byron Gathright

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

PURPOSE: This study was performed to determine cost-effective colonoscopy guidelines for patients with prior colorectal adenocarcinoma. METHOD: A retrospective review was performed of patients who had been treated for colorectal adenocarcinoma and later underwent follow-up colonoscopy from 1984 to 1994. RESULTS: During this study period, 389 patients previously treated for colorectal adenocarcinoma underwent follow-up colonoscopy. All patients had perioperative colon evaluation for other neoplasms. Ages ranged from 26 to 89 (mean, 65.8) years, and 46.8 percent were female. Recurrent or metachronous cancer or a neoplastic polyp constituted a positive examination. Results of 389 first follow-up colonoscopies were compared with 259 second (66.6 percent), 165 third (42.4 percent), and 83 fourth (21.3 percent) follow-up examinations. Median interval between all colonoscopies was 13 months. Positive examination rates for the first two yearly examinations were 18.3 and 18.5 percent, respectively. Slightly lower, third-year and fourth- year positive examination rates were 16.4 and 14.5 percent, respectively. Four-year examinations yielded the following: first year-1 carcinoid, 1 new adenocarcinoma, and 100 polyps; second year-1 anastomotic recurrence and 68 polyps; third year-55 polyps; and fourth year-1 recurrent cancer and 17 polyps. CONCLUSIONS: These data suggest that 1) annual follow-up colonoscopy for two years after colorectal cancer surgery is beneficial for detecting recurrent and metachronous neoplasms and 2) the interval between subsequent examinations may be increased depending on the result of the most recent examination.

Original languageEnglish (US)
Pages (from-to)252-256
Number of pages5
JournalDiseases of the colon and rectum
Volume39
Issue number3
DOIs
StatePublished - Mar 1 1996
Externally publishedYes

Fingerprint

Colorectal Surgery
Colonoscopy
Polyps
Colorectal Neoplasms
Colon
Adenocarcinoma
Neoplasms
Second Primary Neoplasms
Carcinoid Tumor
Guidelines
Costs and Cost Analysis
Recurrence

Keywords

  • Colonoscopy
  • Colorectal cancer follow-up
  • Metachronous neoplasms

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Khoury, D., Opelka, F. G., Beck, D. E., Hicks, T. C., Timmcke, A. E., & Gathright, J. B. (1996). Colon surveillance after colorectal cancer surgery. Diseases of the colon and rectum, 39(3), 252-256. https://doi.org/10.1007/BF02049461

Colon surveillance after colorectal cancer surgery. / Khoury, Douglas; Opelka, Frank G.; Beck, David E.; Hicks, Terry C.; Timmcke, Alan E.; Gathright, J. Byron.

In: Diseases of the colon and rectum, Vol. 39, No. 3, 01.03.1996, p. 252-256.

Research output: Contribution to journalArticle

Khoury, D, Opelka, FG, Beck, DE, Hicks, TC, Timmcke, AE & Gathright, JB 1996, 'Colon surveillance after colorectal cancer surgery', Diseases of the colon and rectum, vol. 39, no. 3, pp. 252-256. https://doi.org/10.1007/BF02049461
Khoury D, Opelka FG, Beck DE, Hicks TC, Timmcke AE, Gathright JB. Colon surveillance after colorectal cancer surgery. Diseases of the colon and rectum. 1996 Mar 1;39(3):252-256. https://doi.org/10.1007/BF02049461
Khoury, Douglas ; Opelka, Frank G. ; Beck, David E. ; Hicks, Terry C. ; Timmcke, Alan E. ; Gathright, J. Byron. / Colon surveillance after colorectal cancer surgery. In: Diseases of the colon and rectum. 1996 ; Vol. 39, No. 3. pp. 252-256.
@article{25c8870d880149cab92ad8c0e55e859c,
title = "Colon surveillance after colorectal cancer surgery",
abstract = "PURPOSE: This study was performed to determine cost-effective colonoscopy guidelines for patients with prior colorectal adenocarcinoma. METHOD: A retrospective review was performed of patients who had been treated for colorectal adenocarcinoma and later underwent follow-up colonoscopy from 1984 to 1994. RESULTS: During this study period, 389 patients previously treated for colorectal adenocarcinoma underwent follow-up colonoscopy. All patients had perioperative colon evaluation for other neoplasms. Ages ranged from 26 to 89 (mean, 65.8) years, and 46.8 percent were female. Recurrent or metachronous cancer or a neoplastic polyp constituted a positive examination. Results of 389 first follow-up colonoscopies were compared with 259 second (66.6 percent), 165 third (42.4 percent), and 83 fourth (21.3 percent) follow-up examinations. Median interval between all colonoscopies was 13 months. Positive examination rates for the first two yearly examinations were 18.3 and 18.5 percent, respectively. Slightly lower, third-year and fourth- year positive examination rates were 16.4 and 14.5 percent, respectively. Four-year examinations yielded the following: first year-1 carcinoid, 1 new adenocarcinoma, and 100 polyps; second year-1 anastomotic recurrence and 68 polyps; third year-55 polyps; and fourth year-1 recurrent cancer and 17 polyps. CONCLUSIONS: These data suggest that 1) annual follow-up colonoscopy for two years after colorectal cancer surgery is beneficial for detecting recurrent and metachronous neoplasms and 2) the interval between subsequent examinations may be increased depending on the result of the most recent examination.",
keywords = "Colonoscopy, Colorectal cancer follow-up, Metachronous neoplasms",
author = "Douglas Khoury and Opelka, {Frank G.} and Beck, {David E.} and Hicks, {Terry C.} and Timmcke, {Alan E.} and Gathright, {J. Byron}",
year = "1996",
month = "3",
day = "1",
doi = "10.1007/BF02049461",
language = "English (US)",
volume = "39",
pages = "252--256",
journal = "Diseases of the Colon and Rectum",
issn = "0012-3706",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Colon surveillance after colorectal cancer surgery

AU - Khoury, Douglas

AU - Opelka, Frank G.

AU - Beck, David E.

AU - Hicks, Terry C.

AU - Timmcke, Alan E.

AU - Gathright, J. Byron

PY - 1996/3/1

Y1 - 1996/3/1

N2 - PURPOSE: This study was performed to determine cost-effective colonoscopy guidelines for patients with prior colorectal adenocarcinoma. METHOD: A retrospective review was performed of patients who had been treated for colorectal adenocarcinoma and later underwent follow-up colonoscopy from 1984 to 1994. RESULTS: During this study period, 389 patients previously treated for colorectal adenocarcinoma underwent follow-up colonoscopy. All patients had perioperative colon evaluation for other neoplasms. Ages ranged from 26 to 89 (mean, 65.8) years, and 46.8 percent were female. Recurrent or metachronous cancer or a neoplastic polyp constituted a positive examination. Results of 389 first follow-up colonoscopies were compared with 259 second (66.6 percent), 165 third (42.4 percent), and 83 fourth (21.3 percent) follow-up examinations. Median interval between all colonoscopies was 13 months. Positive examination rates for the first two yearly examinations were 18.3 and 18.5 percent, respectively. Slightly lower, third-year and fourth- year positive examination rates were 16.4 and 14.5 percent, respectively. Four-year examinations yielded the following: first year-1 carcinoid, 1 new adenocarcinoma, and 100 polyps; second year-1 anastomotic recurrence and 68 polyps; third year-55 polyps; and fourth year-1 recurrent cancer and 17 polyps. CONCLUSIONS: These data suggest that 1) annual follow-up colonoscopy for two years after colorectal cancer surgery is beneficial for detecting recurrent and metachronous neoplasms and 2) the interval between subsequent examinations may be increased depending on the result of the most recent examination.

AB - PURPOSE: This study was performed to determine cost-effective colonoscopy guidelines for patients with prior colorectal adenocarcinoma. METHOD: A retrospective review was performed of patients who had been treated for colorectal adenocarcinoma and later underwent follow-up colonoscopy from 1984 to 1994. RESULTS: During this study period, 389 patients previously treated for colorectal adenocarcinoma underwent follow-up colonoscopy. All patients had perioperative colon evaluation for other neoplasms. Ages ranged from 26 to 89 (mean, 65.8) years, and 46.8 percent were female. Recurrent or metachronous cancer or a neoplastic polyp constituted a positive examination. Results of 389 first follow-up colonoscopies were compared with 259 second (66.6 percent), 165 third (42.4 percent), and 83 fourth (21.3 percent) follow-up examinations. Median interval between all colonoscopies was 13 months. Positive examination rates for the first two yearly examinations were 18.3 and 18.5 percent, respectively. Slightly lower, third-year and fourth- year positive examination rates were 16.4 and 14.5 percent, respectively. Four-year examinations yielded the following: first year-1 carcinoid, 1 new adenocarcinoma, and 100 polyps; second year-1 anastomotic recurrence and 68 polyps; third year-55 polyps; and fourth year-1 recurrent cancer and 17 polyps. CONCLUSIONS: These data suggest that 1) annual follow-up colonoscopy for two years after colorectal cancer surgery is beneficial for detecting recurrent and metachronous neoplasms and 2) the interval between subsequent examinations may be increased depending on the result of the most recent examination.

KW - Colonoscopy

KW - Colorectal cancer follow-up

KW - Metachronous neoplasms

UR - http://www.scopus.com/inward/record.url?scp=0030001743&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030001743&partnerID=8YFLogxK

U2 - 10.1007/BF02049461

DO - 10.1007/BF02049461

M3 - Article

VL - 39

SP - 252

EP - 256

JO - Diseases of the Colon and Rectum

JF - Diseases of the Colon and Rectum

SN - 0012-3706

IS - 3

ER -