GIA Surveillance Guidelines

Question 1

Colonoscopy

Answer 1

Screening initiated at 50 or 10 years younger than the age of first-degree (parent, sibling, child) was diagnosed with CRC

AA at age 45

New guidelines - 45y

Question 2

Who is high-risk patient?

Answer 2

individual with advanced or multiple (>/= 3 adenomas), familial increased risk, first-degree relative @ age 60 or younger

Question 3

Who is low-risk patient?

Answer 3

individual with 1 or 2 tubular adenomas

Question 4

When does CRC surveillance and screening stop?

Answer 4

75-80yo - patient preference and medical hx considered

Question 5

When do you consider genetic testing?

Answer 5

With a patient who had >/= 10 adenomas removed at one colonoscopy

Question 6

No polyps

Answer 6

Next colon 10y

Question 7

Small (< 10mm) hyperplastic polyps in the rectum or sigmoid colon (left side)

Answer 7

next colon 10y or age 50

Question 8

Low-risk adenomas (1-2 tubular adenomas <10mm)

Answer 8

next colon 5y

Question 9

Adenoma >10mm

Answer 9

next colon 3y

Question 10

villous histology, high-grade dysplasia

Answer 10

next colon 3y

Question 11

3 or more adenomas

Answer 11

next colon 3y

Question 12

piecemeal polyp removal with adenomatous finding

Answer 12

next colon 3-6mo

Question 13

sessile serrate polyp <10mm w/no dysplasia

Answer 13

next colon 5y

Question 14

sessile serrated polyp >/=10mm

Answer 14

next colon 3y

Question 15

sessile serrate polyp w/dysplasia

Answer 15

next colon 3y

Question 16

serrated polyposis syndrome

Answer 16

next colon 1y

Question 17

left sided chronic colitis

Answer 17

surveillance at 15y, then q 2-3y

Question 18

pancolitis surveillance

Answer 18

surveillance starts at 8y, then q 1-3y

Question 19

chrohns/colitis surveillance

Answer 19

starts 8-10y, then q 2-3y

Question 20

microscopic colitis

Answer 20

starts at 5y

Question 21

EGD - barrett’s eso (no dysplasia)

Answer 21

2-5y

Question 22

EGD - Barrett’s long segment (>3cm)

Answer 22

2y

Question 23

EGD - Barrett’s short segment (<3cm)

Answer 23

3y