
handle: 10807/132109 , 11585/681228
Main Recommendations 1 We recommend post-surgery endoscopic surveillance for CRC patients after intent-to-cure surgery and appropriate oncological treatment for both local and distant disease.Strong recommendation, low quality evidence. 2 We recommend a high quality perioperative colonoscopy before surgery for CRC or within 6 months following surgery.Strong recommendation, low quality evidence. 3 We recommend performing surveillance colonoscopy 1 year after CRC surgery.Strong recommendation, moderate quality evidence. 4 We do not recommend an intensive endoscopic surveillance strategy, e. g. annual colonoscopy, because of a lack of proven benefit.Strong recommendation, moderate quality evidence. 5 After the first surveillance colonoscopy following CRC surgery, we suggest the second colonoscopy should be performed 3 years later, and the third 5 years after the second. If additional high risk neoplastic lesions are detected, subsequent surveillance examinations at shorter intervals may be considered.Weak recommendation, low quality evidence. 6 After the initial surveillance colonoscopy, we suggest halting post-surgery endoscopic surveillance at the age of 80 years, or earlier if life-expectancy is thought to be limited by comorbidities.Weak recommendation, low quality evidence. 7 In patients with a low risk pT1 CRC treated by endoscopy with an R0 resection, we suggest the same endoscopic surveillance schedule as for any CRC.Weak recommendation, low quality evidence.
Endoscopic Mucosal Resection, POPULATION-BASED COHORT, INADEQUATE BOWEL PREPARATION, LOCAL RECURRENCE, Humans, CURATIVE RESECTION, ANASTOMOTIC RECURRENCE, colorectal cancer; endoscopy; surveillance; oncology;, Science & Technology, Gastroenterology & Hepatology, TOTAL MESORECTAL EXCISION, Gastroenterology, 3202 Clinical sciences, 1103 Clinical Sciences, Colonoscopy, Europe, Population Surveillance, RISK-FACTORS, Surgery, CLINICAL-PRACTICE GUIDELINES, INTRAOPERATIVE RECTAL WASHOUT, Colorectal Neoplasms, Life Sciences & Biomedicine, INTENSIVE FOLLOW-UP
Endoscopic Mucosal Resection, POPULATION-BASED COHORT, INADEQUATE BOWEL PREPARATION, LOCAL RECURRENCE, Humans, CURATIVE RESECTION, ANASTOMOTIC RECURRENCE, colorectal cancer; endoscopy; surveillance; oncology;, Science & Technology, Gastroenterology & Hepatology, TOTAL MESORECTAL EXCISION, Gastroenterology, 3202 Clinical sciences, 1103 Clinical Sciences, Colonoscopy, Europe, Population Surveillance, RISK-FACTORS, Surgery, CLINICAL-PRACTICE GUIDELINES, INTRAOPERATIVE RECTAL WASHOUT, Colorectal Neoplasms, Life Sciences & Biomedicine, INTENSIVE FOLLOW-UP
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