Post-polypectomy monitoring is essential to prevent lesion recurrence and reduce the risk of colorectal cancer. The quality of the initial colonoscopy is crucial. A complete colonoscopy (with visualized cecum), after adequate preparation, performed by an experienced endoscopist (with an adenoma detection rate of at least 25%) who has performed a complete resection of the identified polyps and provided clear recommendations for subsequent follow-up enables optimal and high-quality management after colorectal polypectomy. Current follow-up recommendations vary based on the type, number, and size of resected polyps, as well as the individual characteristics of the patient. Usually, for patients with non-advanced polyps (<10mm, 1-2 tubular adenomas), monitoring via colonoscopy is recommended at intervals of 7 to 10 years. In contrast, patients with advanced adenomas (size ≥10mm, presence of villous components or high-grade dysplasia), or multiple adenomas (≥3), require closer monitoring, often within 3 to 5 years. This text details the current surveillance recommendations, risk factors, and the importance of personalizing follow-up strategies.
Keywords
Colonic polypectomy, colorectal cancer, colonoscopy, polyps, follow-up