GI Societies Issue New Colonoscopy Surveillance Guidelines
Patients at average risk of colorectal cancer who have a clean colonoscopy do not need to repeat the test for 10 years. This and many other practical recommendations for cancer prevention were issued in “Guidelines for Colonoscopy Surveillance After Screening and Polypectomy,”1 a consensus update issued by the U.S. Multisociety Task Force on Colorectal Cancer.
“The U.S. Multisociety Task Force believes that the evidence supporting current recommendations for screening and surveillance intervals has become stronger in the past six years,” said David Lieberman, MD, lead author of the guidelines. “While these guidelines are dynamic and will continue to be revised in the future as new evidence emerges, we believe the guidelines represent the best science available for the screening, surveillance and prevention of colorectal cancer.”
The guideline includes recommendations for surveillance and screening intervals in individuals with baseline average risk. It also addresses murky areas related to screening. Read the guideline for guidance on questions including:
- Should stool tests be used in between colonoscopies to check for cancer?
- Should surveillance be modified based on patient race, ethnicity or gender?
- At what age should colorectal cancer surveillance stop?
1 Lieberman DA, Rex, DK, Winawer SJ, et al. Guidelines for Colonoscopy Surveillance After Screening and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology 2012; September; 143(3): 844-857.