Endoscopic surveillance after surgical or endoscopic resection for colorectal cancer: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Digestive Oncology (ESDO) Guideline

• Type: Article in International Scientific Journal
• Date: 2019

Authors

Hassan, C (Author) Other; Wysocki, PT (Author) Other; Fuccio, L (Author) Other; Seufferlein, T (Author) Other; Mario Dinis Ribeiro (Author) FMUP; Brandao, C (Author) Other; Regula, J (Author) Other; Frazzoni, L (Author) Other; Pellise, M (Author) Other; Alfieri, S (Author) Other; Dekker, E (Author) Other; Jover, R (Author) Other; Rosati, G (Author) Other; Senore, C (Author) Other; Spada, C (Author) Other; Gralnek, I (Author) Other; Dumonceau, JM (Author) Other; van Hooft, JE (Author) Other; van Cutsem, E (Author) Other; Ponchon, T (Author) Other

Journal

Title: Endoscopy

Vol. 51

Pages: 266-277

ISSN: 0013-726X

Publisher: Thieme

Indexing

ISI Web of Knowledge - 21 Citations

Scopus - 26 Citations

Other information

Authenticus ID: P-00Q-9NC

DOI: 10.1055/a-0831-2522

Abstract (EN): 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.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 12