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Clin Colon Rectal Surg 2008; 21(4): 237-246
DOI: 10.1055/s-0028-1089938
© Thieme Medical Publishers

Polyp Surveillance

W. Donald Buie1 , Anthony R. MacLean1
  • 1Department of Surgery, University of Calgary, Calgary, Alberta, Canada
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Publication History

Publication Date:
14 October 2008 (online)

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ABSTRACT

Surveillance after colonic polypectomy is important to detect and remove missed synchronous polyps and cancers and new metachronous polyps or cancers. The authors review methods of surveillance and the risk of recurrent adenomas and provide surveillance recommendations.

KEYWORDS

Polyp - polypectomy - surveillance - screening

REFERENCES

  • 1 Rex D K, Lehman G A, Hawes R H, Ulbright T M, Smith J J. Screening colonoscopy in asymptomatic average-risk persons with negative fecal occult blood tests.  Gastroenterology. 1991;  100 64-67
    PubMedGoogle Scholar
  • 2 Rex D K, Lehman G A, Ulbright T M et al.. Colonic neoplasia in asymptomatic persons with negative fecal occult blood tests: influence of age, gender, and family history.  Am J Gastroenterol. 1993;  88 825-831
    PubMedGoogle Scholar
  • 3 Williams A R, Balasooriya B A, Day D W. Polyps and cancer of the large bowel: a necropsy study in Liverpool.  Gut. 1982;  23 835-842
    CrossrefPubMedGoogle Scholar
  • 4 Winawer S J, Zauber A G, Ho M N et al.. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup.  N Engl J Med. 1993;  329 1977-1981
    CrossrefPubMedGoogle Scholar
  • 5 Citarda F, Tomaselli G, Capocaccia R, Barcherini S, Crespi M. Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence.  Gut. 2001;  48 812-815
    CrossrefPubMedGoogle Scholar
  • 6 Zubarik R, Ganguly E, Benway D, Ferrentino N, Moses P, Vecchio J. Procedure-related abdominal discomfort in patients undergoing colorectal cancer screening: a comparison of colonoscopy and flexible sigmoidoscopy.  Am J Gastroenterol. 2002;  97 3056-3061
    CrossrefPubMedGoogle Scholar
  • 7 Levin T R, Zhao W, Conell C et al.. Complications of colonoscopy in an integrated health care delivery system.  Ann Intern Med. 2006;  145 880-886
    CrossrefPubMedGoogle Scholar
  • 8 Gatto N M, Frucht H, Sundararajan V, Jacobson J S, Grann V R, Neugut A I. Risk of perforation after colonoscopy and sigmoidoscopy: a population-based study.  J Natl Cancer Inst. 2003;  95 230-236
    PubMedGoogle Scholar
  • 9 Rex D K, Bond J H, Winawer S et al.. Quality in the technical performance of colonoscopy and the continuous quality improvement process for colonoscopy: recommendations of the U.S. Multi-Society Task Force on Colorectal Cancer.  Am J Gastroenterol. 2002;  97 1296-1308
    CrossrefPubMedGoogle Scholar
  • 10 Mandel J S, Church T R, Bond J H et al.. The effect of fecal occult-blood screening on the incidence of colorectal cancer.  N Engl J Med. 2000;  343 1603-1607
    CrossrefPubMedGoogle Scholar
  • 11 Thiis-Evensen E, Hoff G S, Sauar J, Langmark F, Majak B M, Vatn M H. Population-based surveillance by colonoscopy: effect on the incidence of colorectal cancer. Telemark Polyp Study I.  Scand J Gastroenterol. 1999;  34 414-420
    CrossrefPubMedGoogle Scholar
  • 12 Robertson D J, Greenberg E R, Beach M et al.. Colorectal cancer in patients under close colonoscopic surveillance.  Gastroenterology. 2005;  129 34-41
    CrossrefPubMedGoogle Scholar
  • 13 Alberts D S, Martinez M E, Roe D J et al.. Lack of effect of a high-fiber cereal supplement on the recurrence of colorectal adenomas. Phoenix Colon Cancer Prevention Physicians' Network.  N Engl J Med. 2000;  342 1156-1162
    CrossrefPubMedGoogle Scholar
  • 14 Schatzkin A, Lanza E, Corle D et al.. Lack of effect of a low-fat, high-fiber diet on the recurrence of colorectal adenomas. Polyp Prevention Trial Study Group.  N Engl J Med. 2000;  342 1149-1155
    CrossrefPubMedGoogle Scholar
  • 15 Levin B, Lieberman D A, McFarland B et al.. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps. A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology.  Gastroenterology. 2008;  134(5) 1570-1595
    CrossrefPubMedGoogle Scholar
  • 16 Haseman J H, Lemmel G T, Rahmani E Y, Rex D K. Failure of colonoscopy to detect colorectal cancer: evaluation of 47 cases in 20 hospitals.  Gastrointest Endosc. 1997;  45 451-455
    CrossrefPubMedGoogle Scholar
  • 17 Hixson L J, Fennerty M B, Sampliner R E, Garewal H S. Prospective blinded trial of the colonoscopic miss-rate of large colorectal polyps.  Gastrointest Endosc. 1991;  37 125-127
    CrossrefPubMedGoogle Scholar
  • 18 Rex D K, Cutler C S, Lemmel G T et al.. Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies.  Gastroenterology. 1997;  112 24-28
    CrossrefPubMedGoogle Scholar
  • 19 Bressler B, Paszat L F, Vinden C, Li C, He J, Rabeneck L. Colonoscopic miss rates for right-sided colon cancer: a population-based analysis.  Gastroenterology. 2004;  127 452-456
    CrossrefPubMedGoogle Scholar
  • 20 Rex D K, Cutler C S, Lemmel G T et al.. Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies.  Gastroenterology. 1997;  112 24-28
    CrossrefPubMedGoogle Scholar
  • 21 Pickhardt P J, Nugent P A, Mysliwiec P A, Choi J R, Schindler W R. Location of adenomas missed by optical colonoscopy.  Ann Intern Med. 2004;  141 352-359
    CrossrefPubMedGoogle Scholar
  • 22 Winawer S J, Zauber A G, O'Brien M J et al.. Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps. The National Polyp Study Workgroup.  N Engl J Med. 1993;  328 901-906
    CrossrefPubMedGoogle Scholar
  • 23 Pabby A, Schoen R E, Weissfeld J L et al.. Analysis of colorectal cancer occurrence during surveillance colonoscopy in the dietary Polyp Prevention Trial.  Gastrointest Endosc. 2005;  61 385-391
    CrossrefPubMedGoogle Scholar
  • 24 Loeve F, Van Ballegooijen M, Boer R, Kuipers E J, Habbema J D. Colorectal cancer risk in adenoma patients: a nation-wide study.  Int J Cancer. 2004;  111 147-151
    CrossrefPubMedGoogle Scholar
  • 25 Farrar W D, Sawhney M S, Nelson D B, Lederle F A, Bond J H. Colorectal cancers found after a complete colonoscopy.  Clin Gastroenterol Hepatol. 2006;  4 1259-1264
    CrossrefPubMedGoogle Scholar
  • 26 Atkin W, Rogers P, Cardwell C et al.. Wide variation in adenoma detection rates at screening flexible sigmoidoscopy.  Gastroenterology. 2004;  126 1247-1256
    CrossrefPubMedGoogle Scholar
  • 27 Barclay R L, Vicari J J, Doughty A S, Johanson J F, Greenlaw R L. Colonoscopic withdrawal times and adenoma detection during screening colonoscopy.  N Engl J Med. 2006;  355 2533-2541
    CrossrefPubMedGoogle Scholar
  • 28 Singh H, Turner D, Xue L, Targownik L E, Bernstein C N. Risk of developing colorectal cancer following a negative colonoscopy examination: evidence for a 10-year interval between colonoscopies.  JAMA. 2006;  295 2366-2373
    CrossrefPubMedGoogle Scholar
  • 29 Kudo S E, Kashida H. Flat and depressed lesions of the colorectum.  Clin Gastroenterol Hepatol. 2005;  3 S33-S36
    CrossrefPubMedGoogle Scholar
  • 30 Muto T, Kamiya J, Sawada T et al.. Small “flat adenoma” of the large bowel with special reference to its clinicopathologic features.  Dis Colon Rectum. 1985;  28 847-851
    CrossrefPubMedGoogle Scholar
  • 31 Hurlstone D P, Cross S S, Adam I et al.. A prospective clinicopathological and endoscopic evaluation of flat and depressed colorectal lesions in the United Kingdom.  Am J Gastroenterol. 2003;  98 2543-2549
    CrossrefPubMedGoogle Scholar
  • 32 Soetikno R M, Kaltenbach T, Rouse R V et al.. Prevalence of nonpolypoid (flat and depressed) colorectal neoplasms in asymptomatic and symptomatic adults.  JAMA. 2008;  299 1027-1035
    CrossrefPubMedGoogle Scholar
  • 33 Matsui T, Yao T, Iwashita A. Natural history of early colorectal cancer.  World J Surg. 2000;  24 1022-1028
    CrossrefPubMedGoogle Scholar
  • 34 Goto H, Oda Y, Murakami Y et al.. Proportion of de novo cancers among colorectal cancers in Japan.  Gastroenterology. 2006;  131(1) 40-46
    CrossrefPubMedGoogle Scholar
  • 35 Gono K, Obi T, Yamaguchi M et al.. Appearance of enhanced tissue features in narrow-band endoscopic imaging.  J Biomed Opt. 2004;  9 568-577
    CrossrefPubMedGoogle Scholar
  • 36 Su M Y, Hsu C M, Ho Y P, Chen P C, Lin C J, Chiu C T. Comparative study of conventional colonoscopy, chromoendoscopy, and narrow-band imaging systems in differential diagnosis of neoplastic and nonneoplastic colonic polyps.  Am J Gastroenterol. 2006;  101 2711-2716
    CrossrefPubMedGoogle Scholar
  • 37 Chiu H M, Chang C Y, Chen C C et al.. A prospective comparative study of narrow-band imaging, chromoendoscopy, and conventional colonoscopy in the diagnosis of colorectal neoplasia.  Gut. 2007;  56 373-379
    CrossrefPubMedGoogle Scholar
  • 38 Tischendorf J J, Wasmuth H E, Koch A, Hecker H, Trautwein C, Winograd R. Value of magnifying chromoendoscopy and narrow band imaging (NBI) in classifying colorectal polyps: a prospective controlled study.  Endoscopy. 2007;  39 1092-1096
    Article in Thieme ConnectPubMedGoogle Scholar
  • 39 Rex D K, Helbig C C. High yields of small and flat adenomas with high-definition colonoscopes using either white light or narrow band imaging.  Gastroenterology. 2007;  133 42-47
    CrossrefPubMedGoogle Scholar
  • 40 Adler A, Pohl H, Papanikolaou I S et al.. A prospective randomised study on narrow-band imaging versus conventional colonoscopy for adenoma detection: does narrow-band imaging induce a learning effect?.  Gut. 2008;  57 59-64
    CrossrefPubMedGoogle Scholar
  • 41 East J E, Suzuki N, Stavrinidis M, Guenther T, Thomas H J, Saunders B P. Narrow band imaging for colonoscopic surveillance in hereditary non-polyposis colorectal cancer.  Gut. 2008;  57 65-70
    CrossrefPubMedGoogle Scholar
  • 42 Cotton P B, Durkalski V L, Pineau B C et al.. Computed tomographic colonography (virtual colonoscopy): a multicenter comparison with standard colonoscopy for detection of colorectal neoplasia.  JAMA. 2004;  291 1713-1719
    CrossrefPubMedGoogle Scholar
  • 43 Rockey D C, Paulson E, Niedzwiecki D et al.. Analysis of air contrast barium enema, computed tomographic colonography, and colonoscopy: prospective comparison.  Lancet. 2005;  365 305-311
    CrossrefPubMedGoogle Scholar
  • 44 Pickhardt P J, Choi J R, Hwang I et al.. Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults.  N Engl J Med. 2003;  349 2191-2200
    CrossrefPubMedGoogle Scholar
  • 45 Halligan S, Altman D G, Taylor S A et al.. CT colonography in the detection of colorectal polyps and cancer: systematic review, meta-analysis, and proposed minimum data set for study level reporting.  Radiology. 2005;  237 893-904
    CrossrefPubMedGoogle Scholar
  • 46 Mulhall B P, Veerappan G R, Jackson J L. Meta-analysis: computed tomographic colonography.  Ann Intern Med. 2005;  142 635-650
    CrossrefPubMedGoogle Scholar
  • 47 Rosman A S, Korsten M A. Meta-analysis comparing CT colonography, air contrast barium enema, and colonoscopy.  Am J Med. 2007;  120 203-210
    CrossrefPubMedGoogle Scholar
  • 48 Vijan S, Hwang I, Inadomi J et al.. The cost-effectiveness of CT colonography in screening for colorectal neoplasia.  Am J Gastroenterol. 2007;  102 380-390
    CrossrefPubMedGoogle Scholar
  • 49 Burt R, Jass J. Hyperplastic polyposis. In: Hamilton, SR, Aaltonen, LA Pathology & Genetics of Tumours of the Digestive System. World Health Organization Classification of Tumours. Lyon; IARC Press 2000
    Google Scholar
  • 50 Winawer S J, Zauber A G, Fletcher R H et al.. Guidelines for Colonoscopy Surveillance after Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society.  Gastroenterology. 2006;  130 1872-1885
    CrossrefPubMedGoogle Scholar
  • 51 Spencer R J, Melton III L J, Ready R L, Ilstrup D M. Treatment of small colorectal polyps: a population-based study of the risk of subsequent carcinoma.  Mayo Clin Proc. 1984;  59 305-310
    PubMedGoogle Scholar
  • 52 Van Stolk R U, Beck G J, Baron J A, Haile R, Summers R. Adenoma characteristics at first colonoscopy as predictors of adenoma recurrence and characteristics at follow-up. The Polyp Prevention Study Group.  Gastroenterology. 1998;  115 13-18
    PubMedGoogle Scholar
  • 53 Yang G, Zheng W, Sun Q R et al.. Pathologic features of initial adenomas as predictors for metachronous adenomas of the rectum.  J Natl Cancer Inst. 1998;  90 1661-1665
    CrossrefPubMedGoogle Scholar
  • 54 Martinez M E, Sampliner R, Marshall J R, Bhattacharyya A K, Reid M E, Alberts D S. Adenoma characteristics as risk factors for recurrence of advanced adenomas.  Gastroenterology. 2001;  120 1077-1083
    PubMedGoogle Scholar
  • 55 Avidan B, Sonnenberg A, Schnell T G, Leya J, Metz A, Sontag S J. New occurrence and recurrence of neoplasms within 5 years of a screening colonoscopy.  Am J Gastroenterol. 2002;  97 1524-1529
    CrossrefPubMedGoogle Scholar
  • 56 Bertario L, Russo A, Sala P et al.. Predictors of metachronous colorectal neoplasms in sporadic adenoma patients.  Int J Cancer. 2003;  105 82-87
    CrossrefPubMedGoogle Scholar
  • 57 Bonithon-Kopp C, Piard F, Fenger C et al.. Colorectal adenoma characteristics as predictors of recurrence.  Dis Colon Rectum. 2004;  47 323-333
    CrossrefPubMedGoogle Scholar
  • 58 Lieberman D A, Weiss D G, Harford W V et al.. Five-year colon surveillance after screening colonoscopy.  Gastroenterology. 2007;  133 1077-1085
    CrossrefPubMedGoogle Scholar
  • 59 Laiyemo A O, Murphy G, Albert P S et al.. Postpolypectomy colonoscopy surveillance guidelines: predictive accuracy for advanced adenoma at 4 years.  Ann Intern Med. 2008;  148 419-426
    CrossrefPubMedGoogle Scholar
  • 60 Greenberg E R, Baron J A, Tosteson T D et al.. A clinical trial of antioxidant vitamins to prevent colorectal adenoma. Polyp Prevention Study Group.  N Engl J Med. 1994;  331 141-147
    CrossrefPubMedGoogle Scholar
  • 61 Baron J A, Beach M, Mandel J S et al.. Calcium supplements for the prevention of colorectal adenomas. Calcium Polyp Prevention Study Group.  N Engl J Med. 1999;  340 101-107
    CrossrefPubMedGoogle Scholar
  • 62 Baron J A, Cole B F, Sandler R S et al.. A randomized trial of aspirin to prevent colorectal adenomas.  N Engl J Med. 2003;  348 891-899
    CrossrefPubMedGoogle Scholar
  • 63 Atkin W S, Morson B C, Cuzick J. Long-term risk of colorectal cancer after excision of rectosigmoid adenomas.  N Engl J Med. 1992;  326 658-662
    CrossrefPubMedGoogle Scholar
  • 64 Noshirwani K C, Van Stolk R U, Rybicki L A, Beck G J. Adenoma size and number are predictive of adenoma recurrence: implications for surveillance colonoscopy.  Gastrointest Endosc. 2000;  51 433-437
    CrossrefPubMedGoogle Scholar
  • 65 Fossi S, Bazzoli F, Ricciardiello L et al.. Incidence and recurrence rates of colorectal adenomas in first-degree asymptomatic relatives of patients with colon cancer.  Am J Gastroenterol. 2001;  96 1601-1604
    CrossrefPubMedGoogle Scholar
  • 66 Otchy D P, Ransohoff D F, Wolff B G et al.. Metachronous colon cancer in persons who have had a large adenomatous polyp.  Am J Gastroenterol. 1996;  91 448-454
    PubMedGoogle Scholar
  • 67 Nusko G, Mansmann U, Kirchner T, Hahn E G. Risk related surveillance following colorectal polypectomy.  Gut. 2002;  51 424-428
    CrossrefPubMedGoogle Scholar
  • 68 Walsh R M, Ackroyd F W, Shellito P C. Endoscopic resection of large sessile colorectal polyps.  Gastrointest Endosc. 1992;  38 303-309
    CrossrefPubMedGoogle Scholar
  • 69 Tamura S, Nakajo K, Yokoyama Y et al.. Evaluation of endoscopic mucosal resection for laterally spreading rectal tumors.  Endoscopy. 2004;  36 306-312
    Article in Thieme ConnectPubMedGoogle Scholar
  • 70 Bories E, Pesenti C, Monges G et al.. Endoscopic mucosal resection for advanced sessile adenoma and early-stage colorectal carcinoma.  Endoscopy. 2006;  38 231-235
    Article in Thieme ConnectPubMedGoogle Scholar
  • 71 Hurlstone D P, Sanders D S, Cross S S et al.. Colonoscopic resection of lateral spreading tumours: a prospective analysis of endoscopic mucosal resection.  Gut. 2004;  53 1334-1339
    CrossrefPubMedGoogle Scholar
  • 72 Brooker J C, Saunders B P, Shah S G, Thapar C J, Suzuki N, Williams C B. Treatment with argon plasma coagulation reduces recurrence after piecemeal resection of large sessile colonic polyps: a randomized trial and recommendations.  Gastrointest Endosc. 2002;  55 371-375
    CrossrefPubMedGoogle Scholar
  • 73 Lieberman D, Nadel M, Smith R A et al.. Standardized Colonoscopy Reporting and Data System: Report of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable.  Gastrointest Endosc. 2007;  65 757-766
    CrossrefPubMedGoogle Scholar
  • 74 Faigel D O, Pike I M, Baron T H et al.. Quality indicators for gastrointestinal endoscopic procedures: an introduction.  Gastrointest Endosc. 2006;  63 S3-S9
    CrossrefPubMedGoogle Scholar

W. Donald BuieM.D. 

Department of Surgery, Foothills Medical Centre

1403-29 St. NW, Calgary, Alberta, T2N 2T9, Canada

Email: wdbuie@ucalgary.ca