Review Article

Serrated Lesions of the Colon-Rectum: A Focus on New Diagnostic Tools and Current Management

Table 1

Surveillance recommendations after complete removal of serrated polyps.

HistologySizeNumberLocalizationSurveillance (years)
International consensus panelUnited States Multi-Society Task ForceBritish Society of Gastroenterology

HP<10 mmAnyRectosigmoid101010
HP≤5 mm≤3Proximal colon10N/A10
HPAny≥4Proximal colon5N/A10
HP>5 mm≥1Proximal colon5N/A10
SSP/TSA<10 mm≤3Any5510
SSP/TSA>10 mm1Any333
SSP/TSA<10 mm≤3Any3510
SSP>10 mm≥2Any1-333
SSP w/ dysplasiaAnyAnyAny1-333

HP: hyperplastic polyp; SSP: sessile serrated polyp; TSA: traditional serrated adenoma; SSP w/ dysplasia: sessile serrated polyp with cytological dysplasia; proximal colon: proximal to the sigmoid.