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Canadian Journal of Gastroenterology
Volume 15, Issue 1, Pages 57-59

Surveillance Colonoscopy following Resection of Colorectal Polyps and Cancer

Douglas K Rex

Indiana University School of Medicine, Indiana University Hospital, Indianapolis, Indiana, USA

Received 20 November 1998; Accepted 28 November 1998

Copyright © 2001 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Patients undergoing clearing colonoscopy with resection of adenomas should generally have their next examination at three years. Exceptions include large sessile adenomas removed piecemeal (re-examine at two to six months until no evidence of recurrent polyp, then at one year), average risk patients with a single tubular adenoma (next examination at five years) and patients with 'numerous' adenomas (next examination at one or two years). Patients with surgically resected colorectal cancer should have a clearing colonoscopy preoperatively or within two to three months of surgery in obstructed patients, even if the preoperative barium enema is negative for proximal lesions. After the clearing colonoscopy, subsequent examinations can be performed based on the associated adenoma findings.