Screening Guidelines

Question 1

Normal exam colonoscopy follow-up

Answer 1

10 yrs

Question 2

1-2 small tubular adenomas (<10 mm) colonoscopy follow-up

Answer 2

7-10 yrs

Question 3

> /= 3 adenomas or adenomas >/= 1cm colonoscopy follow-up

Answer 3

3 yrs

Question 4

Sessile serrated polyp (<10 mm) colonoscopy follow-up

Answer 4

5 yrs

Question 5

Sessile serrated polyp (>/= 1 cm) colonoscopy follow-up

Answer 5

3 yrs

Question 6

High-grade dysplasia colonoscopy follow-up

Answer 6

3 yrs

Question 7

Incomplete polypectomy colonoscopy follow-up

Answer 7

within 6 months

Question 8

History of colorectal cancer colonoscopy follow-up

Answer 8

1 yr, then 3 yrs, then 5 yrs

Question 9

IBD w/ dysplasia colonoscopy follow-up

Answer 9

1-2 yrs depending on severity

Question 10

Barrett’s esophagus (no dysplasia) EGD follow-up

Answer 10

every 3-5 yrs

Question 11

Barrett’s esophagus (low-grade dysplasia) EGD follow-up

Answer 11

annually

Question 12

Barrett’s esophagus (high-grade dysplasia) EGD follow-up

Answer 12

every 3 months post-therapy

Question 13

Gastric ulcers EGD follow-up

Answer 13

6-8 weeks

Question 14

Duodenal ulcers EGD follow-up

Answer 14

as needed based on symptoms

Question 15

Esophageal varices EGD follow-up

Answer 15

1-2 yrs if no varices, 1 yr if small varices

Question 16

Eosinophilic esophagitis EGD follow-up

Answer 16

as clinically indicated

Question 17

Dyspepsia w/ alarm features EGD follow-up

Answer 17

as clinically indicated

Question 18

FAP

Answer 18

sigmoidoscopy starting at age 10-12

Question 19

Lynch syndrome

Answer 19

colonoscopy every 1-2 years starting at age 20-25

Question 20

Colonic polyps follow-up by type:
1) hyperplastic
2) tubular adenoma
3) villous/high-grade

Answer 20

1) 10 years
2) 5-10 years
3) 3 years

Question 21

Glasgow-Blatchford indicating endoscopic evaluation

Answer 21

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