Does Colon Polyp Surveillance Improve Patient Outcomes?

David Lieberman, Samir Gupta

Research output: Contribution to journalArticle

Abstract

Colon polyp surveillance now accounts for 25% of all colonoscopies performed. The evidence that colonoscopy surveillance reduces colorectal cancer (CRC) incidence or mortality is weak. The biology of the baseline lesions and quality of the baseline exam are two primary factors contributing to post-colonoscopy CRC. Prior recommendations for surveillance were based largely on the likelihood that patients with adenomas would develop advanced adenomas, a surrogate for CRC. There is now evidence that baseline colonoscopy findings are strongly associated with the risk of incidence or death from CRC. This evidence provides a basis for updated evidence-based recommendations for surveillance. In addition, there is also growing evidence that the quality of the baseline exam is an important predictor of the likelihood of developing post-colonoscopy CRC.

Original languageEnglish (US)
Pages (from-to)436-440
Number of pages5
JournalGastroenterology
Volume158
Issue number2
DOIs
StatePublished - Jan 2020

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Keywords

  • Colon Polyp
  • Colon Polyp Surveillance
  • Colonoscopy
  • Colorectal Cancer

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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