British Society of Gastroenterology/Association of Coloproctology of Great Britain and Ireland/Public Health England post-polypectomy and post-colorectal cancer resection surveillance guidelines

RUTTER, MD, EAST, J, REES, CJ, CRIPPS, N, DOCHERTY, J, DOLWANI, S, KAYE, PV, MONAHAN, KJ, NOVELLI, MR, PLUMB, A, SAUNDERS, BP, THOMAS-GIBSON, S, TOLAN, DJM, WHYTE, S, BONNINGTON, S, SCOPE, Alison, WONG, R, HIBBERT, B, MARSH, J, MOORES, B, CROSS, A and SHARP, L (2020). British Society of Gastroenterology/Association of Coloproctology of Great Britain and Ireland/Public Health England post-polypectomy and post-colorectal cancer resection surveillance guidelines. Gut, 69 (2), 201-223.

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Official URL: https://gut.bmj.com/content/69/2/201
Open Access URL: https://gut.bmj.com/content/gutjnl/69/2/201.full.p... (Published version)
Link to published version:: https://doi.org/10.1136/gutjnl-2019-319858
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    Abstract

    These consensus guidelines were jointly commissioned by the British Society of Gastroenterology (BSG), the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and Public Health England (PHE). They provide an evidence-based framework for the use of surveillance colonoscopy and non-colonoscopic colorectal imaging in people aged 18 years and over. They are the first guidelines that take into account the introduction of national bowel cancer screening. For the first time, they also incorporate surveillance of patients following resection of either adenomatous or serrated polyps and also post-colorectal cancer resection. They are primarily aimed at healthcare professionals, and aim to address: Which patients should commence surveillance post-polypectomy and post-cancer resection? What is the appropriate surveillance interval? When can surveillance be stopped? two or more premalignant polyps including at least one advanced colorectal polyp (defined as a serrated polyp of at least 10 mm in size or containing any grade of dysplasia, or an adenoma of at least 10 mm in size or containing high-grade dysplasia); or five or more premalignant polyps The Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument provided a methodological framework for the guidelines. The BSG's guideline development process was used, which is National Institute for Health and Care Excellence (NICE) compliant. two or more premalignant polyps including at least one advanced colorectal polyp (defined as a serrated polyp of at least 10 mm in size or containing any grade of dysplasia, or an adenoma of at least 10 mm in size or containing high-grade dysplasia); or five or more premalignant polyps The key recommendations are that the high-risk criteria for future colorectal cancer (CRC) following polypectomy comprise either: Two or more premalignant polyps including at least one advanced colorectal polyp (defined as a serrated polyp of at least 10 mm in size or containing any grade of dysplasia, or an adenoma of at least 10 mm in size or containing high-grade dysplasia); or five or more premalignant polyps This cohort should undergo a one-off surveillance colonoscopy at 3 years. Post-CRC resection patients should undergo a 1 year clearance colonoscopy, then a surveillance colonoscopy after 3 more years.

    Item Type: Article
    Uncontrolled Keywords: colonic polyps; colonoscopy; colorectal adenomas; colorectal cancer; surveillance; Colonic Polyps; Colonoscopy; Colorectal Neoplasms; Evidence-Based Medicine; Humans; Long-Term Care; Neoplasm Recurrence, Local; Patient Selection; Population Surveillance; Postoperative Period; Humans; Colorectal Neoplasms; Neoplasm Recurrence, Local; Colonic Polyps; Colonoscopy; Long-Term Care; Postoperative Period; Population Surveillance; Evidence-Based Medicine; Patient Selection; 1103 Clinical Sciences; 1114 Paediatrics and Reproductive Medicine; Gastroenterology & Hepatology
    Identification Number: https://doi.org/10.1136/gutjnl-2019-319858
    Page Range: 201-223
    SWORD Depositor: Symplectic Elements
    Depositing User: Symplectic Elements
    Date Deposited: 02 Mar 2022 16:35
    Last Modified: 02 Mar 2022 16:45
    URI: http://shura.shu.ac.uk/id/eprint/29817

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