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Post-polypectomy surveillance
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== '''First surveillance interval''' == * 1-4 polyps: ** '''High-risk''' individuals (any of the following features) should be scoped at '''3 years''' *** 1-2 tubular adenomas with HGD or tubulovilous or villous adenomas (with or without HGD), where the size of one or both is >=10mm *** 3-4 tubular adenomas, where the size of one or more is >=10mm *** 3-4 tubulovillous and/or villous adenomas and/or HGD, all <10mm ** '''Mod-risk''' individuals (either of the following) should be scoped at '''5 years''' *** 1-2 tubular adenomas with HGD or tubulovillous or villous adenomas (with or without HGD), all of which are <10mm *** 3-4 tubular adenomas without HGD, all of which are <10mm ** '''Low-risk''' individuals (1-2 <10mm adenomas with no dysplasia) - next scope no sooner than 5 years (most surgeons suggest re-referral for a repeat scope at five years, despite guidelines recommending a repeat in '''10 years''') * 5-9 conventional adenomas ** 3 years if all TAs <10mm without HGD ** 1 year if any adenoma >=10mm or with HGD and/or villosity * >=10 adenomas ** Surveillance 1 year regardless of size or histology * Serrated adenomas: ** Large sessile/laterally spreading lesions with en-bloc resection should have surveillance in 1 year [[File:First surveillance interval serrated polyps.png|none|thumb]]
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