Surveillance Guidelines

Initial screening colonoscopy for men and women should be for those aged 50-64.

Colonoscopy surveillance recommendations based on findings at initial colonoscopy:

a. Normal colonoscopy – next evaluation in 10 years.
b. Hyperplastic polyps removed – next evaluation in 10 years.
c. Small adenomas (less than 1 cm) – next evaluation in 5 years.
d. More than 4 adenomas – next evaluation in 1-2 years.
e. Large polyps – next evaluation in 1-2 years.
f.  Once no polyps found after a 5 year hiatus then next evaluation in 10 years.
g. Family history of first degree relative with colon cancer before age 60(mother, father, sister, brother), next evaluation every 5 years.