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Determining the appropriate colonoscopy surveillance interval after polypectomy depends on the type of lesion removed, and the classification system has expanded in recent years — now including adenomas, hyperplastic lesions, sessile serrated adenomas, and sessile serrated polyps. Dr. M. Brian Fennerty describes his own practice's growing pains with accuracy of pathology reporting in the new system and queries practitioners on their experiences in his most recent Gut Check blog post.