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

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Synopsis

  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.

Keywords: colorectal cancer; endoscopic surveillance; colonoscopy; endoscopic resection; surgical resection; endoscopy

Available Languages

English

Source File

Publishing organization(s):

ESDO European Society of Digestive Oncology, ESGE European Society of Gastrointestinal Endoscopy

Scientific area:

Digestive Oncology, Endoscopy, Primary Care, Radiology & Imaging, Surgery


This item can be cited as: Endoscopy. 2019 Mar;51(3):266-277; PMID 30722071

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Categorisation:

  • Format
    • Standards and Guidelines
  • Language
    • English
  • UEG Member Society
    • European Society of Digestive Oncology (ESDO)
    • European Society of Gastrointestinal Endoscopy (ESGE)
  • UEG Week Pathway
    • Digestive Oncology
    • Endoscopy
    • Primary Care
    • Radiology & Imaging
    • Surgery
  • Year
    • 2019