COLONOSCOPY SURVEILLANCE
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​Colonoscopy recommended at 1, 6, and 11 years after colon cancer resection.

​
If colonoscopies performed at 1, 6 and 11 years post resection are normal:
  • iFOBT every 2 years, or
  • colonoscopy at 10 years (21 years post resection)

If colonoscopy reveals adenoma:
  • next colonoscopy ​guided by polyp features
  • If subsequent colonoscopy is normal, back to cancer surveillance (6 and 11 years after resection)

If incomplete colonoscopy pre-op:
  • semi-urgent colonoscopy when feasible (within 6 months)

If age ≥ 75 years:
  • surveillance based on age and comorbidity


More frequent colonoscopy is indicated in the following groups:
  • Hereditary colorectal cancer syndromes (identified or suspected, see full guidelines)
  • Initial diagnosis younger than 40 years
  • Have multiple synchronous cancers or additional advanced adenomas at initial diagnosis



Other surveillance for colorectal cancer:
Clinical review 3-6 monthly for one year, 6-monthly for two years, then yearly for a total of 5 years.
CEA measurement at each consultation
Annual CT chest / abdo / pelvis


* Clinical practice guidelines for the prevention, early detection and management of colorectal cancer.
https://wiki.cancer.org.au/australia/Guidelines:Colorectal_cancer.

  • Polyp Guide
  • Age
  • Family Hx
  • Cancer
  • New MBS Item Numbers
  • Terms of Use