Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer.
Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer.
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DOI：
10.1053/j.gastro.2019.10.026
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发表时间：
2020-03
期刊：
影响因子：
29.4
通讯作者：
Rex DK
中科院分区：
文献类型：
--
作者：
Gupta S;Lieberman D;Anderson JC;Burke CA;Dominitz JA;Kaltenbach T;Robertson DJ;Shaukat A;Syngal S;Rex DK
结肠镜检查常规用于结直肠癌 (CRC) 筛查、其他异常筛查测试的随访、胃肠道疾病体征和症状的检查以及结直肠癌和息肉切除后的监测。手术后，结肠镜医生应向患者和转诊医生提供后续建议。对符合筛查年龄的个体进行正常结肠镜检查后的随访建议以及对所有患有息肉的个体进行息肉切除术后的建议是需要指导的最常见的临床情况。 1异时性晚期肿瘤的风险与既往结肠镜检查结果相关。经过高质量结肠镜检查后，未检测到肿瘤的患者风险最低，而患有息肉的患者则根据检测到的息肉的组织学、数量、位置和大小进行风险分层。自 2012 年美国多社会工作组（工作组）发布关于结肠镜检查后随访和息肉监测的最新建议2以来，根据结肠镜检查结果和患者特征，以及筛查和监测结肠镜检查对结直肠癌和息肉等结果的潜在影响，已经发表了许多关于 CRC 风险的文章。此外，最近的研究越来越多地反映结肠镜检查的现代时代，人们更多地认识到质量因素（例如，充分的肠道准备、盲肠插管、充分的腺瘤检测和完整的息肉切除）和利用最先进的技术（例如，高清结肠镜）的重要性。更高质量的结肠镜检查可能会影响先前确定的危险因素的重要性。我们的目的是回顾新获得的证据并更新结肠镜检查（伴或不伴息肉切除术）后的随访建议。
Colonoscopy is performed routinely for colorectal cancer (CRC) screening, follow-up of other abnormal screening tests, workup of signs and symptoms of gastrointestinal disease, and surveillance after CRC and polyp removal. Post procedure, colonoscopists are expected to provide follow-up recommendations to patients and referring physicians. Recommendations for follow-up after normal colonoscopy among individuals age-eligible for screening, and post-polypectomy among all individuals with polyps are among the most common clinical scenarios requiring guidance. 1Risk of metachronous advanced neoplasia is associated with findings on prior colonoscopy. After high-quality colonoscopy, patients with no neoplasia detected are at the lowest risk, and those with polyps are risk-stratified based on the histology, number, location, and size of polyps detected. Since the release of the last US Multi-Society Task Force (Task Force) recommendations for post-colonoscopy follow-up and polyp surveillance in 2012, 2 a number of articles have been published on risk of CRC based on colonoscopy findings and patient characteristics, as well as the potential impact of screening and surveillance colonoscopy on outcomes, such as incident CRC and polyps. Further, recent studies increasingly reflect the modern era of colonoscopy with more awareness of the importance of quality factors (eg, adequate bowel preparation, cecal intubation, adequate adenoma detection, and complete polyp resection), and utilization of state of the art technologies (eg, high-definition colonoscopes). Higher-quality colonoscopy could impact the importance of previously identified risk factors. Our aim was to review newly available evidence and update recommendations for follow-up after colonoscopy with or without polypectomy.
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影响因子：
4.3
作者：
Facciorusso, Antonio;Di Maso, Marianna;Muscatiello, Nicola
通讯作者：
Muscatiello, Nicola
影响因子：
3.6
作者：
Fairley, Kimberly J.;Li, Jinhong;Erlich, Porat
通讯作者：
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DOI：
10.1016/s1470-2045(17)30187-0
发表时间：
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期刊：
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影响因子：
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作者：
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Cross AJ
影响因子：
39.2
作者：
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通讯作者：
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影响因子：
4.5
作者：
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