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. Author manuscript; available in PMC: 2021 Mar 1.
Published in final edited form as: Am J Gastroenterol. 2020 Mar;115(3):415–434. doi: 10.14309/ajg.0000000000000544

Table 3.

Terms and Definitionsa

Term Definition
Average risk for CRC Absence of inflammatory bowel disease, family history of CRC, hereditary syndrome associated with increased risk, serrated polyposis syndrome, personal history of CRC
Normal colonoscopy A colonoscopy where no adenoma, SSP, TSA, HP ≥10 mm, or CRC is found
Low-risk adenoma 1–2 nonadvanced adenomas <10 mm in size
Advanced adenoma 1 or more of the following findings:
 • Adenoma ≥10 mm in size
 • Adenoma with tubulovillous/villous histology
 • Adenoma with high-grade dysplasia
Advanced neoplasia 1 or more of the following findings:
 • Adenoma ≥10 mm in size
 • Adenoma with tubulovillous/villous histology
 • Adenoma with high-grade dysplasia
 • CRC
High-risk adenoma 1 or more of the following findings:
 • Advanced neoplasia
 • 3 or more adenomas
Adequate ADR ADR ≥30% in men and ≥20% in women
Adequate bowel preparation Bowel preparation adequate for visualization of polyps >5 mm in size
Complete examination Complete colonoscopy to cecum, with photo documentation of cecal landmarks, such as the appendiceal orifice, terminal ileum, or ileocecal valve
High-quality examination Examination complete to cecum with adequate bowel preparation performed by colonoscopist with adequate adenoma detection rate and attention to complete polyp excision
a

We propose moving forward that rather than using categories such as “high-risk adenoma” or “low-risk adenoma,” that research articles specify the individual criteria being captured by the category (eg, use 1–2 adenomas <10 mm instead of the term low-risk adenoma) because evidence supporting level of risk for various criteria are constantly evolving.