{"id":871,"date":"2014-12-05T09:27:25","date_gmt":"2014-12-05T09:27:25","guid":{"rendered":"http:\/\/library.sath.nhs.uk\/intelligence\/?p=871"},"modified":"2020-05-29T09:18:10","modified_gmt":"2020-05-29T08:18:10","slug":"incidence-of-metachronous-colorectal-tumours-at-one-year-surveillance-colonoscopy-2014","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2014\/12\/05\/incidence-of-metachronous-colorectal-tumours-at-one-year-surveillance-colonoscopy-2014\/","title":{"rendered":"Incidence of metachronous colorectal tumours at one year surveillance colonoscopy  (2014)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Bajwa A., *McConnell C., *Odulaja M., *Chandra A., *Luke D., *<a href=\"https:\/\/orcid.org\/0000-0003-2302-7014\" target=\"_blank\" rel=\"noopener noreferrer\">Cheetham M.<\/a> <a href=\"https:\/\/orcid.org\/0000-0003-2302-7014\" target=\"_blank\" rel=\"noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-5757 size-full\" src=\"http:\/\/www.library.sath.nhs.uk\/wp-content\/uploads\/2020\/05\/orcid_16x16.gif\" alt=\"\" width=\"16\" height=\"16\" \/><\/a><\/p>\n<p><strong>Citation:<\/strong><br \/>\nColorectal Disease, September 2014, vol.\/is. 16\/(59), 1462-8910 (September 2014)<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nAim: The National Institution for health and care excellence (of United Kingdom) updated their guidelines for colorectal cancer follow up in 2011. This included the recommendation for a 1 year post op surveillance colonoscopy to detect metachronous malignant and premalignant colorectal tumours. The aim of this study was to assess the efficacy of this aggressive surveillance policy. Method: Seventy-five consecutive patients who had undergone colorectal resections with curative attempt over a 12 month period after the publication of the 2011 guidelines. Outcome after their 1 year surveillance colonoscopy was examined to determine the incidence of new colorectal cancers and adenomatous polyps. Results: Of 75 (male = 47) patients (median (range) 71 (34-89)) were included. No new colorectal cancers were detected at 1 year surveillance colonoscopy. New adenomatous polyps were detected in 11 of the 75 patients (15%). Conclusion: The 2011 NICE guidelines include both a recommendation for full pre operative colonoscopy to detect synchronous tumours, and one and 5 yearly post operative colonoscopies to detect metachronous lesions. The evidence for the efficacy for early surveillance is unclear. We detected no new colorectal cancers and only 15% had new adenomatous polyps at one year indicating that early surveillance may not be warranted.<\/p>\n<p><strong>Link to more details or full-text: <\/strong><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Bajwa A., *McConnell C., *Odulaja M., *Chandra A., *Luke D., *Cheetham M. Citation: Colorectal Disease, September 2014, vol.\/is. 16\/(59), 1462-8910 (September 2014) Abstract: Aim: The National Institution for health and care excellence (of United<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2014\/12\/05\/incidence-of-metachronous-colorectal-tumours-at-one-year-surveillance-colonoscopy-2014\/\">Read more <span class=\"screen-reader-text\">Incidence of metachronous colorectal tumours at one year surveillance colonoscopy  (2014)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[458,273,221],"class_list":["post-871","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-458","tag-colorectal-cancer","tag-gastroenterology"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/871","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=871"}],"version-history":[{"count":4,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/871\/revisions"}],"predecessor-version":[{"id":6028,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/871\/revisions\/6028"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=871"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=871"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}