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. Author manuscript; available in PMC: 2021 Mar 1.
Published in final edited form as: Gastrointest Endosc. 2020 Feb 7;91(3):463–485.e5. doi: 10.1016/j.gie.2020.01.014

Table 7:

Recommendations for 2nd surveillance stratified by adenoma findings at baseline and 1st surveillance

Baseline Finding Recommended interval for 1st surveillance Finding at 1st surveillance Recommended interval for next surveillance
1 to 2 tubular adenomas < 10 mm 7 to 10 years Normal colonoscopy 10 years
1 to 2 tubular adenomas < 10 mm 7 to 10 years
3 to 4 tubular adenomas < 10 mm 3 to 5 years
Adenoma ≥10 mm in size; or
Adenoma with tubulovillous/villous histology; or
Adenoma with high grade dysplasia; or
5 to 10 adenomas < 10 mm
3 years
3 to 4 tubular adenomas < 10 mm 3 to 5 years Normal colonoscopy 10 years
1 to 2 tubular adenomas < 10 mm 7 to 10 years
3 to 4 tubular adenomas < 10 mm 3 to 5 years
Adenoma ≥10 mm in size; or
Adenoma with tubulovillous/villous histology; or
Adenoma with high grade dysplasia; or
5 to 10 adenomas < 10 mm
3 years
Adenoma ≥10 mm in size; or
Adenoma with tubulovillous/villous histology; or
Adenoma with high grade dysplasia; or
5 to10 adenomas < 10 mm
3 years Normal colonoscopy 5 years
1 to 2 tubular adenomas < 10 mm 5 years
3 to 4 tubular adenomas < 10 mm 3 to 5 years
Adenoma ≥10 mm in size; or
Adenoma with tubulovillous/villous histology; or
Adenoma with high grade dysplasia; or
5 to 10 adenomas < 10 mm
3 years

Normal colonoscopy is defined by colonoscopy where no adenoma, SSP, or CRC is found

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