Colonoscopy Surveillance After Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer

Gastroenterology. 2016 Mar;150(3):758-768.e11. doi: 10.1053/j.gastro.2016.01.001. Epub 2016 Feb 10.


The US Multi-Society Task Force has developed updated recommendations to guide health care providers with the surveillance of patients after colorectal cancer (CRC) resection with curative intent. This document is based on a critical review of the literature regarding the role of colonoscopy, flexible sigmoidoscopy, endoscopic ultrasound, fecal testing and CT colonography in this setting. The document addresses the effect of surveillance, with focus on colonoscopy, on patient survival after CRC resection, the appropriate use and timing of colonoscopy for perioperative clearing and for postoperative prevention of metachronous CRC, specific considerations for the detection of local recurrence in the case of rectal cancer, as well as the place of CT colonography and fecal tests in post-CRC surveillance.

Keywords: Colonoscopy; Colorectal Neoplasms; Surveillance.

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Colectomy
  • Colonography, Computed Tomographic / standards
  • Colonoscopy / standards*
  • Colorectal Neoplasms / mortality
  • Colorectal Neoplasms / pathology*
  • Colorectal Neoplasms / surgery
  • Disease Progression
  • Disease-Free Survival
  • Endosonography / standards
  • Gastroenterology / standards*
  • Humans
  • Neoplasm Recurrence, Local
  • Neoplasm Staging
  • Neoplasm, Residual
  • Neoplasms, Second Primary / mortality
  • Neoplasms, Second Primary / pathology
  • Predictive Value of Tests
  • Risk Assessment
  • Risk Factors
  • Sigmoidoscopy / standards
  • Time Factors
  • Treatment Outcome