Post-polypectomy colonoscopy surveillance: Can we improve the diagnostic yield?

Gastroenterol Hepatol. 2022 Jun-Jul;45(6):474-487. doi: 10.1016/j.gastrohep.2021.11.005. Epub 2021 Nov 27.
[Article in English, Spanish]


Although adenomas and serrated polyps are the preneoplastic lesions of colorectal cancer, only few of them will eventually progress to cancer. This review provides a comprehensive overview of the present and future of post-polypectomy colonoscopy surveillance. Post-polypectomy surveillance guidelines have recently been updated and all share the aim towards more selective and less frequent surveillance. We have examined these current guidelines and compared the recommendations of each of them. To improve the diagnostic yield of post-polypectomy surveillance it is important to find predictors of metachronous polyps that better identify high-risk individuals of developing advanced neoplasia. For this reason, we have also conducted a literature review of the molecular biomarkers of metachronous advanced colorectal polyps. Finally, we have discussed future directions of post-polypectomy surveillance and identified possible strategies to improve the use of endoscopic resources with the COVID-19 pandemic.

Keywords: Biomarcadores; Biomarkers; Colorectal cancer; Cribado; Cáncer colorrectal; Polyps; Post-polypectomy surveillance; Pólipos; Screening; Vigilancia endoscópica.

Publication types

  • Review

MeSH terms

  • COVID-19*
  • Colonic Polyps* / diagnosis
  • Colonic Polyps* / epidemiology
  • Colonic Polyps* / surgery
  • Colonoscopy
  • Colorectal Neoplasms* / diagnosis
  • Colorectal Neoplasms* / epidemiology
  • Colorectal Neoplasms* / surgery
  • Humans
  • Pandemics