Colon adenoma surveillance: It takes a program

摘要

Colon surveillance recommendations after resection of adenomas are based on several principles. First, there is evidence that individuals in whom neoplasia develops can have re-occurrence. The confluence of genetic predisposition and lifestyle risk factors probably do not change after adenomas are detected and removed; thus, the finding identifies a higher-risk individual. This is borne out in studies that demonstrate that after adenoma removal, risk of the development of more adenomas and colorectal cancer (CRC) is higher than if there are no adenomas at baseline.1 Second, we have evidence for risk stratification during surveillance.