Table 3.
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 |
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.