Endoscopy 2019; 51(03): 266-277
DOI: 10.1055/a-0831-2522
Guideline
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic surveillance after surgical or endoscopic resection for colorectal cancer: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Digestive Oncology (ESDO) Guideline

Cesare Hassan
1  Gastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy
,
Piotr Tomasz Wysocki
2  Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Warsaw, Poland
,
Lorenzo Fuccio
3  Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
,
Thomas Seufferlein
4  Department of Internal Medicine I, Ulm University Hospital, Ulm, Germany
,
Mário Dinis-Ribeiro
5  CIDES/CINTESIS, Faculty of Medicine, University of Porto, Porto, Portugal
,
Catarina Brandão
5  CIDES/CINTESIS, Faculty of Medicine, University of Porto, Porto, Portugal
,
Jaroslaw Regula
6  Medical Centre for Postgraduate Education, Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Warsaw, Poland
,
Leonardo Frazzoni
3  Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
,
Maria Pellise
7  Gastroenterology Department, Endoscopy Unit, ICMDiM, Hospital Clinic, CIBEREHD, IDIBAPS, University of Barcelona, Catalonia, Spain
,
Sergio Alfieri
8  Fondazione Policlinico A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
,
Evelien Dekker
9  Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands;
,
Rodrigo Jover
10  Service of Digestive Medicine, Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Alicante, Spain
,
Gerardo Rosati
11  Medical Oncology Unit, S. Carlo Hospital, Potenza, Italy
,
Carlo Senore
12  Azienda Ospedaliero Universitaria Cittá della Salute e della Scienza Centro per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Turin, Italy
,
Cristiano Spada
13  Digestive Endoscopy Unit, Fondazione Poliambulanza, Brescia, Italy
,
Ian Gralnek
14  Institute of Gastroenterology, Hepatology and Nutrition, Emek Medical Center, Afula, Israel
,
Jean-Marc Dumonceau
15  Gedyt Endoscopy Center, Buenos Aires, Argentina
,
Jeanin E. van Hooft
9  Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands;
,
Eric van Cutsem
16  University Hospitals Gasthuisberg, Leuven, Belgium
,
Thierry Ponchon
17  Gastroenterology and Endoscopy, Edouard Herriot Hospital, Lyon, France
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
05. Februar 2019 (online)

Main Recommendations

1 We recommend post-surgery endoscopic surveillance for CRC patients after intent-to-cure surgery and appropriate oncological treatment for both local and distant disease.
Strong recommendation, low quality evidence.

2 We recommend a high quality perioperative colonoscopy before surgery for CRC or within 6 months following surgery.
Strong recommendation, low quality evidence.

3 We recommend performing surveillance colonoscopy 1 year after CRC surgery.
Strong recommendation, moderate quality evidence.

4 We do not recommend an intensive endoscopic surveillance strategy, e. g. annual colonoscopy, because of a lack of proven benefit.
Strong recommendation, moderate quality evidence.

5 After the first surveillance colonoscopy following CRC surgery, we suggest the second colonoscopy should be performed 3 years later, and the third 5 years after the second. If additional high risk neoplastic lesions are detected, subsequent surveillance examinations at shorter intervals may be considered.
Weak recommendation, low quality evidence.

6 After the initial surveillance colonoscopy, we suggest halting post-surgery endoscopic surveillance at the age of 80 years, or earlier if life-expectancy is thought to be limited by comorbidities.
Weak recommendation, low quality evidence.

7 In patients with a low risk pT1 CRC treated by endoscopy with an R0 resection, we suggest the same endoscopic surveillance schedule as for any CRC.
Weak recommendation, low quality evidence.

Appendix 1s – 3s, Table 1s – 3s