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1320 10.6004/jnccn.2018.7058 Impact of a Clinical Decision Support System on Guideline Adherence of Surveillance Recommendations for Colonoscopy After Polypectomy Magrath Melissa a b * MD Yang Edward a b * MD Ahn Chul c d PhD Mayorga

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currently a consensus on screening for SBA, because it’s located higher on the gastrointestinal tract and therefore is not detected during routine colonoscopy. However, it has been shown to be associated with Lynch syndrome (among other familial syndromes

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Christina Rybak and Michael J. Hall

. The patient's risk of a second primary CRC is difficult to quantify, but it would be reasonable for him and close relatives to be followed up closely with colonoscopy. The patient was advised to pursue a colonoscopy interval of 2 to 3 years, and his

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Crystal Denlinger and Terry S. Langbaum

of surgery with curative intent and probably impacts survival. In addition, surveillance colonoscopy can detect second primary tumors. Of note, in a recent study, most colorectal cancer recurrences were detected with scheduled CEA testing or CT scan

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Dawn Provenzale, Samir Gupta, Dennis J. Ahnen, Travis Bray, Jamie A. Cannon, Gregory Cooper, Donald S. David, Dayna S. Early, Deborah Erwin, James M. Ford, Francis M. Giardiello, William Grady, Amy L. Halverson, Stanley R. Hamilton, Heather Hampel, Mohammad K. Ismail, Jason B. Klapman, David W. Larson, Audrey J. Lazenby, Patrick M. Lynch, Robert J. Mayer, Reid M. Ness, Scott E. Regenbogen, Niloy Jewel Samadder, Moshe Shike, Gideon Steinbach, David Weinberg, Mary Dwyer and Susan Darlow

surveillance and prevention, recognizing that, in some clinical scenarios, delaying initiation of surveillance (eg, later starting age for colonoscopy surveillance among PMS2 carriers) may be appropriate, pending availability of large cohort studies of risk

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Shilpa Grover and Sapna Syngal

incidence and mortality. 43 , 44 In a prospective screening study that followed individuals over 15-years, colonoscopies at 3-year intervals decreased CRC mortality by 63%. 44 Observational studies have, however, reported interval cancers in individuals

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Jarred Burkart, Dwight Owen, Manisha H. Shah, Sherif R. Z. Abdel-Misih, Sameek Roychowdhury, Robert Wesolowski, Sigurdis Haraldsdottir, Julie W. Reeser, Eric Samorodnitsky, Amy Smith and Bhavana Konda

. Case 1 A 66-year-old Ashkenazi Jewish woman with a past medical history of early-stage invasive ductal carcinoma of the left breast, treated definitively with surgery and adjuvant tamoxifen therapy, presented after a routine colonoscopy revealed a 1

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Al B. Benson III, Tanios Bekaii-Saab, Emily Chan, Yi-Jen Chen, Michael A. Choti, Harry S. Cooper, Paul F. Engstrom, Peter C. Enzinger, Marwan G. Fakih, Moon J. Fenton, Charles S. Fuchs, Jean L. Grem, Steven Hunt, Ahmed Kamel, Lucille A. Leong, Edward Lin, Kilian Salerno May, Mary F. Mulcahy, Kate Murphy, Eric Rohren, David P. Ryan, Leonard Saltz, Sunil Sharma, David Shibata, John M. Skibber, William Small Jr, Constantinos T. Sofocleous, Alan P. Venook, Christopher G. Willett, Kristina M. Gregory and Deborah A. Freedman-Cass

change its surveillance recommendation for patients with stage I disease to include only colonoscopy at 1 year (see COL-3, page 521). Repeat colonoscopy is recommended at 3 years, and then every 5 years thereafter, unless advanced adenoma (villous polyp

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Al B. Benson III, Tanios Bekaii-Saab, Emily Chan, Yi-Jen Chen, Michael A. Choti, Harry S. Cooper, Paul F. Engstrom, Peter C. Enzinger, Marwan G. Fakih, Charles S. Fuchs, Jean L. Grem, Steven Hunt, Lucille A. Leong, Edward Lin, Michael G. Martin, Kilian Salerno May, Mary F. Mulcahy, Kate Murphy, Eric Rohren, David P. Ryan, Leonard Saltz, Sunil Sharma, David Shibata, John M. Skibber, William Small Jr, Constantinos T. Sofocleous, Alan P. Venook, Christopher G. Willett, Deborah A. Freedman-Cass and Kristina M. Gregory

the submucosa and are therefore incapable of regional nodal metastasis. 37 The panel recommends marking the cancerous polyp site at the time of colonoscopy or within 2 weeks. In patients with pedunculated polyps with invasive cancer (tubular

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Viola Walter, Daniel Boakye, Janick Weberpals, Lina Jansen, Walter E. Haefeli, Uwe M. Martens, Phillip Knebel, Jenny Chang-Claude, Michael Hoffmeister and Hermann Brenner

. Brenner H , Chang-Claude J , Seiler CM , . Protection from colorectal cancer after colonoscopy: a population-based, case-control study . Ann Intern Med 2011 ; 154 : 22 – 30 . 21200035 10.7326/0003-4819-154-1-201101040-00004 27. Brenner H