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Current guidelines from both the U.S. Multisociety Task Force and the American Cancer Society recommend that clinicians make greater use of risk stratification when determining surveillance intervals after polypectomy (Journal Watch Gastroenterology Mar 11 2003). Specific recommendations are as follows:
Patients who have 1 or 2 tubular adenomas <1 cm in size with low-grade dysplasia on initial colonoscopy should undergo follow-up colonoscopy at 5 to 10 years.
Patients who have 3 to 10 tubular adenomas, or any adenomas with villous elements or high-grade dysplasia, should undergo follow-up colonoscopy at 3 years.
Patients with >10 adenomas should undergo colonoscopy at <3 years.
Patients with resected colorectal cancer should undergo a clearing …