Gastroenterology
Volume 130, Issue 6 , Pages 1865-1871 , May 2006

Guidelines for Colonoscopy Surveillance After Cancer Resection: A Consensus Update by the American Cancer Society and the US Multi-Society Task Force on Colorectal Cancer

  • Douglas K. Rex

      Affiliations

    • Indiana University School of Medicine, Indianapolis, Indiana
    • Corresponding Author InformationAddress requests for reprints to: Douglas K. Rex, MD, Indiana University Hospital #4100, 550 North University Boulevard, Indianapolis, Indiana 46202-5121. fax: (317) 274-5449
    • ,
  • Charles J. Kahi

      Affiliations

    • Indiana University School of Medicine, Indianapolis, Indiana
    • ,
  • Bernard Levin

      Affiliations

    • University of Texas M.D. Anderson Cancer Center, Houston, Texas
    • ,
  • Robert A. Smith

      Affiliations

    • American Cancer Society, Atlanta, Georgia
    • ,
  • John H. Bond

      Affiliations

    • University of Minnesota, Minneapolis, Minnesota
    • ,
  • Durado Brooks

      Affiliations

    • American Cancer Society, Atlanta, Georgia
    • ,
  • Randall W. Burt

      Affiliations

    • Huntsman Cancer Institute at the University of Utah, Salt Lake City, Utah
    • ,
  • Tim Byers

      Affiliations

    • University of Colorado, Denver, Colorado
    • ,
  • Robert H. Fletcher

      Affiliations

    • Harvard Medical School, Boston, Massachusetts
    • ,
  • Neil Hyman

      Affiliations

    • University of Vermont, Burlington, Vermont
    • ,
  • David Johnson

      Affiliations

    • Eastern Virginia School of Medicine, Norfolk, Virginia
    • ,
  • Lynne Kirk

      Affiliations

    • University of Texas Southwestern Medical Center, Dallas, Texas
    • ,
  • David A. Lieberman

      Affiliations

    • Oregon Health and Science University, Portland, Oregon
    • ,
  • Theodore R. Levin

      Affiliations

    • Kaiser Permanente Medical Center, Walnut Creek, California
    • ,
  • Michael J. O’Brien

      Affiliations

    • Boston University School of Medicine, Boston, Massachusetts
    • ,
  • Clifford Simmang

      Affiliations

    • University of Texas Southwestern Medical Center, Dallas, Texas
    • ,
  • Alan G. Thorson

      Affiliations

    • Creighton University, Omaha, Nebraska
    • ,
  • Sidney J. Winawer

      Affiliations

    • Memorial Sloan-Kettering Cancer Center, New York, New York

References 

  1. Winawer SJ, Zauber AG, Fletcher RH, Stillman JS, O’Brien MJ, Levin B, et al. Guidelines for Colonoscopy Surveillance After Polypectomy (a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society) . Gastroenterology . 2006;130:1872–1885
  2. Barillari P , Ramacciato G , Manetti G , Bovino A , Sammartino P , Stipa V . Surveillance of colorectal cancer (effectiveness of early detection of intraluminal recurrences on prognosis and survival of patients treated for cure) . Dis Colon Rectum . 1996;39:388–393
  3. Barrier A , Houry S , Huguier M . The appropriate use of colonoscopy in the curative management of colorectal cancer . Int J Colorectal Dis . 1998;13:93–98
  4. Carlsson G , Petrelli NJ , Nava H , Herrera L , Mittelman A . The value of colonoscopic surveillance after curative resection for colorectal cancer or synchronous adenomatous polyps . Arch Surg . 1987;122:1261–1263
  5. Castells A, Bessa X, Daniels M, Ascaso C, Lacy AM, Garcia-Valdecasas JC, et al. Value of postoperative surveillance after radical surgery for colorectal cancer (results of a cohort study) . Dis Colon Rectum . 1998;41:714–724
  6. Chen F , Stuart M . Colonoscopic follow-up of colorectal carcinoma . Dis Colon Rectum . 1994;37:568–572
  7. Eckardt VF , Stamm H , Kanzler G , Bernhard G . Improved survival after colorectal cancer in patients complying with a postoperative endoscopic surveillance program . Endoscopy . 1994;26:523–527
  8. Granqvist S , Karlsson T . Postoperative follow-up of patients with colorectal carcinoma by colonoscopy . Eur J Surg . 1992;158:307–312
  9. Green RJ, Metlay JP, Propert K, Catalano PJ, Macdonald JS, Mayer RJ, et al. Surveillance for second primary colorectal cancer after adjuvant chemotherapy (an analysis of Intergroup 0089) . Ann Intern Med . 2002;136:261–269
  10. Juhl G , Larson GM , Mullins R , Bond S , Polk HC . Six-year results of annual colonoscopy after resection of colorectal cancer . World J Surg . 1990;14:255–261
  11. Khoury DA , Opelka FG , Beck DE , Hicks TC , Timmcke AE , Gathright JB . Colon surveillance after colorectal cancer surgery . Dis Colon Rectum . 1996;39:252–256
  12. Kjeldsen BJ , Kronborg O , Fenger C , Jorgensen OD . A prospective randomized study of follow-up after radical surgery for colorectal cancer . Br J Surg . 1997;84:666–669
  13. Kronborg O , Hage E , Deichgraeber E . The remaining colon after radical surgery for colorectal cancer. The first three years of a prospective study . Dis Colon Rectum . 1983;26:172–176
  14. Makela JT , Laitinen SO , Kairaluoma MI . Five-year follow-up after radical surgery for colorectal cancer. Results of a prospective randomized trial . Arch Surg . 1995;130:1062–1067
  15. McFarland RJ , Becciolini C , Lallemand RC . The value of colonoscopic surveillance following a diagnosis of colorectal cancer or adenomatous polyp . Eur J Surg Oncol . 1991;17:514–518
  16. Obrand DI , Gordon PH . Incidence and patterns of recurrence following curative resection for colorectal carcinoma . Dis Colon Rectum . 1997;40:15–24
  17. Ohlsson B , Breland U , Ekberg H , Graffner H , Tranberg KG . Follow-up after curative surgery for colorectal carcinoma. Randomized comparison with no follow-up . Dis Colon Rectum . 1995;38:619–626
  18. Patchett SE , Mulcahy HE , O’Donoghue DP . Colonoscopic surveillance after curative resection for colorectal cancer . Br J Surg . 1993;80:1330–1332
  19. Pietra N , Sarli L , Costi R , Ouchemi C , Grattarola M , Peracchia A . Role of follow-up in management of local recurrences of colorectal cancer (a prospective, randomized study) . Dis Colon Rectum . 1998;41:1127–1133
  20. Schoemaker D , Black R , Giles L , Toouli J . Yearly colonoscopy, liver CT, and chest radiography do not influence 5-year survival of colorectal cancer patients . Gastroenterology . 1998;114:7–14
  21. Skaife P , Seow-Choen F , Eu KW , Tang CL . A novel indicator for surveillance colonoscopy following colorectal cancer resection . Colorectal Dis . 2003;5:45–48
  22. Stigliano V, Fracasso P, Grassi A, Lapenta R, Citarda F, Tomaselli G, et al. Endoscopic follow-up in resected colorectal cancer patients . J Exp Clin Cancer Res . 2000;19:145–148
  23. Togashi K, Konishi F, Ozawa A, Sato T, Shito K, Kashiwagi H, et al. Predictive factors for detecting colorectal carcinomas in surveillance colonoscopy after colorectal cancer surgery . Dis Colon Rectum . 2000;43:S47–S53
  24. Weber CA , Deveney KE , Pellegrini CA , Way LW . Routine colonoscopy in the management of colorectal carcinoma . Am J Surg . 1986;152:87–92
  25. Benson AB, Desch CE, Flynn PJ, Krause C, Loprinzi CL, Minsky BD, et al. 2000 update of American Society of Clinical Oncology colorectal cancer surveillance guidelines . J Clin Oncol . 2000;18:3586–3588
  26. Renehan AG , Egger M , Saunders MP , O’Dwyer ST . Impact on survival of intensive follow up after curative resection for colorectal cancer (systematic review and meta-analysis of randomised trials) . Br Med J . 2002;324:813
  27. Jeffery GM , Hickey BE , Hider P . Follow-up strategies for patients treated for non-metastatic colorectal cancer . Cochrane Database Syst Rev . 2002;CD002200
  28. Holm T , Johansson H , Cedermark B , Ekelund G , Rutqvist LE . Influence of hospital- and surgeon-related factors on outcome after treatment of rectal cancer with or without preoperative radiotherapy . Br J Surg . 1997;84:657–663
  29. Porter GA , Soskolne CL , Yakimets WW , Newman SC . Surgeon-related factors and outcome in rectal cancer . Ann Surg . 1998;227:157–167
  30. McArdle CS , Hole D . Impact of variability among surgeons on postoperative morbidity and mortality and ultimate survival . Br Med J . 1991;302:1501–1505
  31. Steele RJ . The influence of surgeon case volume on outcome in site-specific cancer surgery . Eur J Surg Oncol . 1996;22:211–213
  32. Harmon JW, Tang DG, Gordon TA, Bowman HM, Choti MA, Kaufman HS, et al. Hospital volume can serve as a surrogate for surgeon volume for achieving excellent outcomes in colorectal resection . Ann Surg . 1999;230:404–413
  33. Panageas KS , Schrag D , Riedel E , Bach PB , Begg CB . The effect of clustering of outcomes on the association of procedure volume and surgical outcomes . Ann Intern Med . 2003;139:658–665
  34. Kapiteijn E, Marijnen CA, Nagtegaal ID, Putter H, Steup WH, Wiggers T, et al. Dutch Colorectal Cancer G Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer . N Engl J Med . 2001;345:638–646
  35. Heald RJ , Husband EM , Ryall RD . The mesorectum in rectal cancer surgery—the clue to pelvic recurrence? . Br J Surg . 1982;69:613–616
  36. Cawthorn SJ, Parums DV, Gibbs NM, A’Hern RP, Caffarey SM, Broughton CI, et al. Extent of mesorectal spread and involvement of lateral resection margin as prognostic factors after surgery for rectal cancer . Lancet . 1990;335:1055–1059
  37. Fleshman JW, Wexner SD, Anvari M, LaTulippe JF, Birnbaum EH, Kodner IJ, et al. Laparoscopic vs. open abdominoperineal resection for cancer . Dis Colon Rectum . 1999;42:930–939
  38. Kwok SP , Lau WY , Carey PD , Kelly SB , Leung KL , Li AK . Prospective evaluation of laparoscopic-assisted large bowel excision for cancer . Ann Surg . 1996;223:170–176
  39. Leung KL, Kwok SP, Lam SC, Lee JF, Yiu RY, Ng SS, et al. Laparoscopic resection of rectosigmoid carcinoma (prospective randomised trial) . Lancet . 2004;363:1187–1192
  40. Stockholm Colorectal Cancer Study Group, Basingstoke Bowel Cancer Research Project Martling AL , Holm T , Rutqvist LE , Moran BJ , Heald RJ , Cedemark B . Effect of a surgical training programme on outcome of rectal cancer in the County of Stockholm . Lancet . 2000;356:93–96
  41. Maurer CA , Z’Graggen K , Renzulli P , Schilling MK , Netzer P , Buchler MW . Total mesorectal excision preserves male genital function compared with conventional rectal cancer surgery . Br J Surg . 2001;88:1501–1505
  42. Fleshman JW , Myerson RJ , Fry RD , Kodner IJ . Accuracy of transrectal ultrasound in predicting pathologic stage of rectal cancer before and after preoperative radiation therapy . Dis Colon Rectum . 1992;35:823–829
  43. Gualdi GF , Casciani E , Guadalaxara A , d’Orta C , Polettini E , Pappalardo G . Local staging of rectal cancer with transrectal ultrasound and endorectal magnetic resonance imaging (comparison with histologic findings) . Dis Colon Rectum . 2000;43:338–345
  44. Hunerbein M , Pegios W , Rau B , Vogl TJ , Felix R , Schlag PM . Prospective comparison of endorectal ultrasound, three-dimensional endorectal ultrasound, and endorectal MRI in the preoperative evaluation of rectal tumors. Preliminary results . Surg Endosc . 2000;14:1005–1009
  45. Mathur P, Smith JJ, Ramsey C, Owen M, Thorpe A, Karim S, et al. Comparison of CT and MRI in the pre-operative staging of rectal adenocarcinoma and prediction of circumferential resection margin involvement by MRI . Colorectal Dis . 2003;5:396–401
  46. Beets-Tan RG . MRI in rectal cancer (the T stage and circumferential resection margin) . Colorectal Dis . 2003;5:392–395
  47. Radcliffe A , Brown G . Will MRI provide maps of lines of excision for rectal cancer? . Lancet . 2001;357:495–496
  48. Beets-Tan RG, Beets GL, Vliegen RF, Kessels AG, Van Boven H, De Bruine A, et al. Accuracy of magnetic resonance imaging in prediction of tumour-free resection margin in rectal cancer surgery . Lancet . 2001;357:497–504
  49. Sauer R, Becker H, Hohenberger W, Rodel C, Wittekind C, Fietkau R, et al. Preoperative versus postoperative chemoradiotherapy for rectal cancer . N Engl J Med . 2004;351:1731–1740
  50. Rex D , Cummings O , Ulbright T . Coming to terms with pathologists over colon polyps with cancer or high-grade dysplasia . J Clin Gastroenterol . 2005;39:1–3
  51. Practice parameters Committee of the American College of Gastroenterology Bond JH . Polyp guideline (diagnosis, treatment, and surveillance for patients with colorectal polyps) . Am J Gastroenterol . 2000;95:3053–3063
  52. Langevin JM , Nivatvongs S . The true incidence of synchronous cancer of the large bowel. A prospective study . Am J Surg . 1984;147:330–333
  53. Pagana TJ , Ledesma EJ , Mittelman A , Nava HR . The use of colonoscopy in the study of synchronous colorectal neoplasms . Cancer . 1984;53:356–359
  54. Rex D, Sledge G, Harper P, Ulbright T, Loehrer P, Helper D, et al. Colonic neoplasia in asymptomatic persons with negative fecal occult blood tests (influence of age, gender, and family history) . Am J Gastroenterol . 1993;88:825–831
  55. Lieberman D , Weiss D , Bond J , Ahnen D , Garewal H , Chejfec G . 380. VACSG. Use of colonoscopy to screen asymptomatic adults for colorectal cancer . N Engl J Med . 2000;343:162–168
  56. Imperiale T , Wagner D , Lin C , Larkin G , Rogge J , Ransohoff D . Risk of advanced proximal neoplasms in asymptomatic adults according to the distal colorectal findings . N Engl J Med . 2000;343:169–174
  57. Imperiale TF , Ransohoff DF , Itzkowitz SH , Turnbull BA , Ross ME  Colorectal Cancer Study G . Fecal DNA versus fecal occult blood for colorectal-cancer screening in an average-risk population . N Engl J Med . 2004;351:2704–2714
  58. Cali RL, Pitsch RM, Thorson AG, Watson P, Tapia P, Blatchford GJ, et al. Cumulative incidence of metachronous colorectal cancer . Dis Colon Rectum . 1993;36:388–393
  59. Winawer SJ, Stewart ET, Zauber AG, Bond JH, Ansel H, Waye JD, et al. A comparison of colonoscopy and double-contrast barium enema for surveillance after polypectomy . N Engl J Med . 2000;342:1766–1772
  60. Rockey D , Paulson E , Favis W , et al.   Multicenter prospective comparison of colon imaging tests . (abstr) Gastroenterology . 2004;126:A2004
  61. Johnson CD, Harmsen WS, Wilson LA, McCarty RL, Welch TJ, Ilstrup DM, et al. Prospective blinded evaluation of computed tomographic colonography for screen detection of colorectal polyps . Gastroenterology . 2003;125:311–319
  62. Cotton PB, Durkalski VL, Pineau BC, Palesch YY, Mauldin PD, Hoffman B, et al  Computed tomographic colonography (virtual colonoscopy). A multicenter comparison with standard colonoscopy for detection of colorectal neoplasia . JAMA . 2004;291:1713–1719
  63. Pickhardt PJ, Choi JR, Hwang I, Butler JA, Puckett ML, Hildebrandt HA, et al. Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults . N Engl J Med . 2003;349:2191–2200
  64. Finkelstein S , Bini EJ . Annual fecal occult blood testing can be safely suspended for up to 5 years after a negative colonoscopy in asymptomatic average-risk patients . Gastrointest Endosc . 2005;61:AB250
  65. Bampton PA, Sandford JJ, Cole SR, Smith A, Marcon J, Cadd B, et al. Interval faecal occult blood testing in a colonoscopy based screening programme detects additional pathology . Gut . 2005;54:803–806
  66. Imperiale TF , Ransohoff DF , Itzkowitz SH , Turnbull BA , Ross ME . Fecal DNA versus fecal occult blood for colorectal-cancer screening in an average-risk population . N Engl J Med . 2004;351:2704–2714

 This article is being published jointly in 2006 in CA: A Cancer Journal for Clinicians (online: May 30, 2006; print: May/June 2006) and Gastroenterology (online: May 2006; print: May 2006) by the American Cancer Society and the American Gastroenterology Association. ©2006 American Cancer Society, Inc. and American Gastroenterology Association, Inc. Copying with attribution allowed for any noncommercial use of the work.

PII: S0016-5085(06)00562-2

doi: 10.1053/j.gastro.2006.03.013

Gastroenterology
Volume 130, Issue 6 , Pages 1865-1871 , May 2006

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