The current recommendations from the joint AMERICAN Cancer Society/US Multisociety Task Force on Colorectal Cancer are that 5- to 10-year intervals are appropriate for follow-up of patients at low risk for subsequent advanced adenomas. To ADDRESS this issue, a GROUP from the UNIVERSITY of Pennsylvania identified 1002 patients with 1 or 2 small adenomas at their first colonoscopy who had ≥ 3 colonoscopies performed within a 13-year period. Among 88 patients who had at least 1 adenoma at the third colonoscopy, 3 (3.4%) had advanced adenomas. Although this study was small, the authors concluded that it is reasonable to continue 5-year surveillance in patients with 1 to 2 small tubular adenomas found at BASELINE examination.

The current recommendations from the joint American Cancer Society/US Multisociety Task Force on Colorectal Cancer are that 5- to 10-year intervals are appropriate for follow-up of patients at low risk for subsequent advanced adenomas. To address this issue, a group from the University of Pennsylvania identified 1002 patients with 1 or 2 small adenomas at their first colonoscopy who had ≥ 3 colonoscopies performed within a 13-year period. Among 88 patients who had at least 1 adenoma at the third colonoscopy, 3 (3.4%) had advanced adenomas. Although this study was small, the authors concluded that it is reasonable to continue 5-year surveillance in patients with 1 to 2 small tubular adenomas found at baseline examination.