When and How to Stop Surveillance Colonoscopy in Older Adults: Five Rules of Thumb for Practitioners

Jennifer K Maratt; Audrey H Calderwood; Sameer D Saini

doi:10.1038/ajg.2017.461

When and How to Stop Surveillance Colonoscopy in Older Adults: Five Rules of Thumb for Practitioners

Am J Gastroenterol. 2018 Jan;113(1):5-7. doi: 10.1038/ajg.2017.461. Epub 2017 Dec 5.

Authors

Jennifer K Maratt¹, Audrey H Calderwood², Sameer D Saini^{1

3

4}

Affiliations

¹ Division of Gastroenterology and Hepatology, Department of Internal Medicine, Michigan Medicine, Veterans Affairs Medical Center, Ann Arbor, Michigan, USA.
² Section of Gastroenterology, Department of Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
³ Veterans Affairs Center for Clinical Management and Research, Ann Arbor, Michigan, USA.
⁴ Institute for Healthcare Policy and Innovation, Michigan Medicine, Ann Arbor, Michigan, USA.

Abstract

A 79-year-old obese man with obstructive sleep apnea, who ambulates with assistance comes to you to discuss post-polypectomy surveillance colonoscopy. His last colonoscopy was performed 5 years ago, during which two small adenomas were removed.

MeSH terms

Adenoma / diagnosis*
Adenoma / pathology
Aftercare
Age Factors
Aged
Colonic Polyps / diagnosis*
Colonic Polyps / pathology
Colonoscopy / methods*
Colorectal Neoplasms / diagnosis*
Colorectal Neoplasms / pathology
Humans
Patient Selection
Risk Assessment
Tumor Burden

Grants and funding

T32 DK062708/DK/NIDDK NIH HHS/United States