Improving Surveillance and Screening Colonoscopy

R Keswani et al. Gastroenterol 2021; 161: 701-711. Full text (open access) AGA Clinical Practice Update on Strategies to Improve Quality of Screening and Surveillance Colonoscopy: Expert Review

While these guidelines are geared towards adult gastroenterologists for colorectal cancer screening, some advice is universally applicable

  • tracking quality metrics: good prep, cecal intubation rate, and adverse events
  • good bowel preparation instructions
  • detailed endoscopy reports
  • appropriate followup: All patients with advanced adenomas should have repeat colonoscopy in 3 years. Average-risk patients with normal screening colonoscopies or those with only small distal hyperplastic polyps should not undergo repeat examinations before 10 years

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