Colorectal cancer (CRC) is the third most commonly diagnosed cancer worldwide. The identification of colonic polyps can reduce CRC mortality through earlier diagnosis of cancers and the removal of polyps: the removal of colonic polyps at an initial colonoscopy, some patients are at an increased risk of developing CRC in the future. This is the rationale for post-polypectomy surveillance colonoscopy. However, not all individuals found to have colonic adenomas have a risk of CRC higher than that of the general population. This review examines the literature on post-polypectomy surveillance including current international clinical guidelines. The potential benefits of surveillance procedures must be weighed against the burden of colonoscopy: resource use, the potential for patient discomfort, and the risk of complications. Therefore surveillance colonoscopy is best utilised in a selected group of individuals at a high risk of developing cancer. Further study is needed into the specific factors conferring higher risk as well as the efficacy of surveillance in mitigating this risk. Such evidence will better inform clinicians and patients of the relative benefits of colonoscopic surveillance for the individual. In addition, the decision to continue with surveillance must be informed by the changing profile of risks and benefits of further procedures with the patient's advancing age.
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页码:1925 / 1934
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[Anonymous], 2014, Colorectal cancer facts & figures 2014-2016
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Imperial Coll London, Dept Surg & Canc, London W2 1PG, EnglandImperial Coll London, Dept Surg & Canc, London W2 1PG, England
Atkin, Wendy
Kralj-Hans, Ines
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Imperial Coll London, Dept Surg & Canc, London W2 1PG, EnglandImperial Coll London, Dept Surg & Canc, London W2 1PG, England
Kralj-Hans, Ines
Wardle, Jane
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UCL, Dept Epidemiol & Publ Hlth, Hlth Behav Res Ctr, London, EnglandImperial Coll London, Dept Surg & Canc, London W2 1PG, England
Wardle, Jane
Duffy, Stephen
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Queen Mary Univ London, Barts & London Sch Med & Dent, Wolfson Inst Prevent Med, Canc Res UK Ctr EMS, London, EnglandImperial Coll London, Dept Surg & Canc, London W2 1PG, England
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Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Atkin, Wendy S.
Edwards, Rob
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Queen Mary Univ London, Canc Res UK Ctr Epidemiol Math & Stat, Wolfson Inst Prevent Med, London, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Edwards, Rob
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Kralj-Hans, Ines
Wooldrage, Kate
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Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Wooldrage, Kate
Hart, Andrew R.
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Univ E Anglia, Sch Med Hlth Policy & Practice, Norwich NR4 7TJ, Norfolk, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Hart, Andrew R.
Northover, John M. A.
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St Marks Hosp, Dept Surg, Harrow, Middx, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Northover, John M. A.
Parkin, D. Max
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Univ Oxford, Clin Trials Serv Unit, Oxford, England
Univ Oxford, Epidemiol Studies Unit, Oxford, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Parkin, D. Max
Wardle, Jane
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UCL, Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Wardle, Jane
Duffy, Stephen W.
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Queen Mary Univ London, Canc Res UK Ctr Epidemiol Math & Stat, Wolfson Inst Prevent Med, London, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
机构:
Imperial Coll London, Dept Surg & Canc, London W2 1PG, EnglandImperial Coll London, Dept Surg & Canc, London W2 1PG, England
Atkin, Wendy
Kralj-Hans, Ines
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Imperial Coll London, Dept Surg & Canc, London W2 1PG, EnglandImperial Coll London, Dept Surg & Canc, London W2 1PG, England
Kralj-Hans, Ines
Wardle, Jane
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UCL, Dept Epidemiol & Publ Hlth, Hlth Behav Res Ctr, London, EnglandImperial Coll London, Dept Surg & Canc, London W2 1PG, England
Wardle, Jane
Duffy, Stephen
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Queen Mary Univ London, Barts & London Sch Med & Dent, Wolfson Inst Prevent Med, Canc Res UK Ctr EMS, London, EnglandImperial Coll London, Dept Surg & Canc, London W2 1PG, England
机构:
Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Atkin, Wendy S.
Edwards, Rob
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Queen Mary Univ London, Canc Res UK Ctr Epidemiol Math & Stat, Wolfson Inst Prevent Med, London, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Edwards, Rob
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Kralj-Hans, Ines
Wooldrage, Kate
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Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Wooldrage, Kate
Hart, Andrew R.
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h-index: 0
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Univ E Anglia, Sch Med Hlth Policy & Practice, Norwich NR4 7TJ, Norfolk, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Hart, Andrew R.
Northover, John M. A.
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St Marks Hosp, Dept Surg, Harrow, Middx, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Northover, John M. A.
Parkin, D. Max
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oxford, Clin Trials Serv Unit, Oxford, England
Univ Oxford, Epidemiol Studies Unit, Oxford, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Parkin, D. Max
Wardle, Jane
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机构:
UCL, Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England
Wardle, Jane
Duffy, Stephen W.
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Queen Mary Univ London, Canc Res UK Ctr Epidemiol Math & Stat, Wolfson Inst Prevent Med, London, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England