Colonoscopic Follow-up of Adenomas and Colorectal Cancer

De, Beck; Opelka, FG; Tc, Hicks; Ae, Timmcke; Da, Khoury; Jb, Gathright

doi:10.1097/00007611-199505000-00011

Cited by 9 publications

(5 citation statements)

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“…7,8,17 In addition, these studies noted that follow-up examinations generally revealed smaller polyps with less villous component and smaller numbers of patients with synchronous adenomas. Our results demonstrate fewer total polyps on follow-up examination, but no significant difference in the histopathology or size when compared with polyps removed at the initial examination.…”

Section: Discussionmentioning

confidence: 95%

“…General population guidelines, based on large trials, including the National Polyp Study, recommend follow-up colonoscopy be delayed for three years after polypectomy for simple lesions, but an interval between one and three years for polyps greater than 2 cm in size, incomplete polyp removal, or the presence of invasive cancer in the polyp. [7][8][9] The Israel Penn database of the Cincinnati Tumor registry reported 386 cases of CRC in 10,667 transplant recipients. 3,10 This prevalence of 3.6 percent approximates the 3 to 5 percent reported for the general population.…”

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confidence: 99%

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The Role of Endoscopic Colon Surveillance in the Transplant Population

Parikshak¹,

Pawlak²,

Eggenberger³

et al. 2002

Diseases of the Colon &Amp; Rectum

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Because of an equivalent incidence of adenomatous polyps compared with the general population, current screening criteria should be used in patients posttransplant. Transplant patients are not more likely to develop metachronous polyps than the general population. Therefore, posttransplant polyp surveillance should not be more frequent than currently recommended for nontransplant patients with adenomatous polyps.

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Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

The Role of Endoscopic Colon Surveillance in the Transplant Population

Parikshak¹,

Pawlak²,

Eggenberger³

et al. 2002

Diseases of the Colon &Amp; Rectum

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“…The incidence of metachronous CRC, that is, a subsequent primary cancer for people with a previous diagnosis of CRC, is estimated to be 8% over 5 years (99,100), which is higher than the incidence of CRC for people who have never been diagnosed with CRC (0.6% at age 50 years and 5.1% at age 70 years over 5 years). Future risk prediction models will need to be extended to include estimates of cancer risk subsequent to the first diagnosis if they are to be useful to those with a previous diagnosis of CRC.…”

Section: Incorporation Of Metachronous Crc Risk Predictionmentioning

confidence: 97%

Risk Prediction Models for Colorectal Cancer: A Review

Win

MacInnis

Hopper

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Risk prediction models are important to identify individuals at high risk of developing the disease who can then be offered individually tailored clinical management, targeted screening and interventions to reduce the burden of disease. They are also useful for research purposes when attempting to identify new risk factors for the disease. In this article, we review the risk prediction models that have been developed for colorectal cancer and appraise their applicability, strengths, and weaknesses. We also discuss the factors to be considered for future development and improvement of models for colorectal cancer risk prediction. We conclude that there is no model that sufficiently covers the known risk factors for colorectal cancer that is suitable for assessment of people from across the full range of risk and that a new comprehensive model is needed. Cancer Epidemiol Biomarkers Prev; 21(3); 398-410. Ó2011 AACR.

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“…De acordo com o National Polyp Study 13 , o intervalo seguro para a realização de uma nova colonoscopia para seguimento pós-polipectomia é de 3 anos. Este estudo avaliou 1418 pacientes, e comparou um grupo que realizou o seguimento após 1 ano e após 3 anos, e outro grupo apenas após 3 anos, sem diferença significativa entre os dois grupos 29,13,18,30 . Em alguns casos, o exame de controle deve ser realizado mais precocemente, dentro de 3 a 6 meses ou 1 ano, a fim de garantir uma maior segurança ao paciente, como em casos de ressecção duvidosa da lesão, pólipos sésseis grandes, ressecção de múltiplos adenomas ou exame do restante do cólon prejudicado por preparo insuficiente do intestino 6,22 .…”

Section: Métodounclassified