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Less Frequent Colonoscopy After Polyp Removal Could Be the Way to Go, Study Suggests

Summary by MedPage Today
(MedPage Today) -- Surveillance colonoscopy beginning 5 years after removal of high-risk adenomas is just as effective for detecting colorectal cancer (CRC) as a shorter 3-year interval, an interim analysis of an ongoing noninferiority trial showed...

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Patients who have had high-risk colon polyps removed only need to return for a check-up after five years, instead of after three. Two European studies, in which Amsterdam UMC was also involved, have shown this. The risk of colon cancer after the removal of these so-called high-risk colon polyps appears to be small. Moreover, an initial check-up after five years is just as safe as after three years, reports Amsterdam UMC.

·Apeldoorn, Netherlands (Kingdom of the)
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Extending the time to endoscopic control from three to five years did not result in more cancer cases among patients who had high-risk adenomas removed from the colon, early data from a large study shows.

An international study led by Spanish and Norwegian researchers has shown that delaying the first surveillance colonoscopy from three to five years after the removal of advanced adenomas does not increase the risk of colorectal cancer or death from this disease.

Results from a randomized study suggest that patients who have had high-risk polyps removed can wait five years before being followed up with colonoscopy, without increasing their risk of cancer.

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MedPage Today broke the news in New York, United States on Wednesday, September 16, 2026.
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