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

• Tipo: Artigo em Revista Científica Internacional
• Data: 2019

Autores

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

Revista

Título: Endoscopy

Vol. 51

Páginas: 266-277

ISSN: 0013-726X

Editora: Thieme

Indexação

ISI Web of Knowledge - 21 Citações

Scopus - 26 Citações

Outras Informações

ID Authenticus: 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.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 12