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US Multi-Society Task Force on Colorectal Cancer recommendations for second surveillance stratified by adenoma findings at baseline and first surveillance colonoscopy

US Multi-Society Task Force on Colorectal Cancer recommendations for second surveillance stratified by adenoma findings at baseline and first surveillance colonoscopy
Baseline finding Recommended interval for first surveillance (years) Finding at first surveillance Recommended interval for next surveillance (years)
1 to 2 tubular adenomas <10 mm 7 to 10 Normal colonoscopy* 10
1 to 2 tubular adenomas <10 mm 7 to 10
3 to 4 tubular adenomas <10 mm 3 to 5
Adenoma ≥10 mm in size; or adenoma with tubulovillous/villous histology; or adenoma with high grade dysplasia; or 5 to 10 adenomas <10 mm 3
3 to 4 tubular adenomas <10 mm 3 to 5 Normal colonoscopy* 10
1 to 2 tubular adenomas <10 mm 7 to 10
3 to 4 tubular adenomas <10 mm 3 to 5
Adenoma ≥10 mm in size; or adenoma with tubulovillous/villous histology; or adenoma with high grade dysplasia; or 5 to 10 adenomas <10 mm 3
Adenoma ≥10 mm in size; or adenoma with tubulovillous/villous histology; or adenoma with high-grade dysplasia; or 5 to 10 adenomas <10 mm 3 Normal colonoscopy* 5
1 to 2 tubular adenomas <10 mm 5
3 to 4 tubular adenomas <10 mm 3 to 5
Adenoma ≥10 mm in size; or adenoma with tubulovillous/villous histology; or adenoma with high grade dysplasia; or 5 to 10 adenomas <10 mm 3
* Normal colonoscopy is defined as colonoscopy where no adenoma, sessile serrated adenoma, or colorectal cancer is found.
From: Gupta S, Lieberman D, Anderson JC, et al. Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol 2020. DOI: 10.14309/ajg.0000000000000544. Copyright © 2020 the American College of Gastroenterology, the AGA Institute, and the American Society for Gastrointestinal Endoscopy. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
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