Colon Polyp Surveillance Recommendations

Serrated Polyposis : Yes? :
SSP/A >= 10 mm or with Dysplasia or TSA : Yes? :
SSP/A < 10 mm in Proximal Colon and without Dysplasia : Yes? :
Adenoma(s) with High Grade Dysplasia : Yes? :
Villous Adenoma(s) : Yes? :
Tubular Adenoma(s) >= 10 mm in Size : Yes? :
Number of Adenomas :

Assumes a complete exam to the cecum, adequate bowel prep, and complete removal of polyps at the baseline exam.

Formula :

Based on the MSTF-CRC Guidelines.

Explanation of Result :

As per the MSTF-CRC these intervals assume a complete exam to the cecum, adequate bowel prep, and complete removal of polyps at the baseline exam.

* Please verify all calculations prior to clinical use.

References

  • Lieberman D. Colon Polyp Surveillance Clinical Decision Tool. Gastroenterology. 2013 Nov 21. PMID: 24269291.
  • Lieberman DA, Rex DK, Winawer SJ, Giardiello FM, Johnson DA, Levin TR; United States Multi-Society Task Force on Colorectal Cancer. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2012 Sep;143(3):844-57. PMID: 22763141.