Polyps

[pinfold]

Likened to a creeping death I presume.

Probably are age related as to frequency as stated in another thread,but got a fright just how quickly they develop. Here in Thailand I probably would not bother getting routine scan until bleeding occurred,probably by then too late and expensive for surgery in Thailand .

Do not want to bang on about another near-by country but took a different approach there and have everything routinely tested as humanly possible as I can,....but now two more have appeared within virtually a two year period its a bit worrying. True they could have been too small to spot on first scan,but not too small now. They were not cancerous,but undoubtedly would have gone on to be just that.

The NHS in the UK would not submit me to yearly scanning I know,so I guess just have to go to India for up -the ass camera,no matter where I live every 12 months or so

[Sheryl]

Yearly screening would be considerably over the top. As you can see below, the recommended frequency depending on the type and number of polyps found is anywhere from 3 - 10 yearly intervals.

Risk group Surveillance recommendation

Patients with small colorectal hyperplastic polyps (these patients are considered to have normal colonoscopies)

Next follow-up colonoscopy in 10 years

An exception is patients with the hyperplastic polyposis syndrome because they are at increased risk for adenomas and colorectal cancer and must be identified for more intensive follow-up

Patients with one or two small (< 1 cm) tubular adenomas with only low-grade dysplasia

Next follow-up colonoscopy in five to 10 years

The precise timing within this interval should be based on other clinical factors (e.g., previous colonoscopy findings, family history, patient preferences, judgment of the physician)

Patients with three to 10 adenomas, any adenoma ≥ 1 cm, or any adenoma with villous features or high-grade dysplasia

Next follow-up colonoscopy in three years, provided that piecemeal removal has not been done and the adenomas are completely removed

If the follow-up colonoscopy is normal or shows only one or two small (< 1 cm) tubular adenomas with low-grade dysplasia, the interval for the subsequent examination should be five years

Patients with more than 10 adenomas at one examination

Next follow-up colonoscopy at a shorter interval (three years or less) established by clinical judgment, and the physician should consider the possibility of an underlying familial syndrome

Patients with sessile adenomas that are removed piecemeal

Consider follow-up colonoscopy at two- to six-month intervals to verify complete removal

Once complete removal has been established, subsequent surveillance should be individualized, based on the endoscopist's judgment; completeness of removal should be based on endoscopic and pathologic assessments

Patients suspected of having hereditary nonpolyposis colorectal cancer

More intensive surveillance than every 10 years is indicated when the family history indicates hereditary nonpolyposis colorectal cancer; recommendation for confirmed disease is colonoscopy every one to two years

Adapted with permission from Winawer SJ, Zauber AG, Fletcher RH, et al., for the U.S. Multi-Society Task Force on Colorectal Cancer, American Cancer Society. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the U.S. Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. CA Cancer J Clin. 2006;56(3):145.

http://www.aafp.org/afp/2008/0401/p995.html#afp20080401p995-t2

[pinfold]

Yearly screening would be considerably over the top. As you can see below, the recommended frequency depending on the type and number of polyps found is anywhere from 3 - 10 yearly intervals.

Risk group Surveillance recommendation

Patients with small colorectal hyperplastic polyps (these patients are considered to have normal colonoscopies)

Next follow-up colonoscopy in 10 years

An exception is patients with the hyperplastic polyposis syndrome because they are at increased risk for adenomas and colorectal cancer and must be identified for more intensive follow-up

Patients with one or two small (< 1 cm) tubular adenomas with only low-grade dysplasia

Next follow-up colonoscopy in five to 10 years

The precise timing within this interval should be based on other clinical factors (e.g., previous colonoscopy findings, family history, patient preferences, judgment of the physician)

Patients with three to 10 adenomas, any adenoma ≥ 1 cm, or any adenoma with villous features or high-grade dysplasia

Next follow-up colonoscopy in three years, provided that piecemeal removal has not been done and the adenomas are completely removed

If the follow-up colonoscopy is normal or shows only one or two small (< 1 cm) tubular adenomas with low-grade dysplasia, the interval for the subsequent examination should be five years

Patients with more than 10 adenomas at one examination

Next follow-up colonoscopy at a shorter interval (three years or less) established by clinical judgment, and the physician should consider the possibility of an underlying familial syndrome

Patients with sessile adenomas that are removed piecemeal

Consider follow-up colonoscopy at two- to six-month intervals to verify complete removal

Once complete removal has been established, subsequent surveillance should be individualized, based on the endoscopist's judgment; completeness of removal should be based on endoscopic and pathologic assessments

Patients suspected of having hereditary nonpolyposis colorectal cancer

More intensive surveillance than every 10 years is indicated when the family history indicates hereditary nonpolyposis colorectal cancer; recommendation for confirmed disease is colonoscopy every one to two years

Adapted with permission from Winawer SJ, Zauber AG, Fletcher RH, et al., for the U.S. Multi-Society Task Force on Colorectal Cancer, American Cancer Society. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the U.S. Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. CA Cancer J Clin. 2006;56(3):145.

http://www.aafp.org/afp/2008/0401/p995.html#afp20080401p995-t2

Eh? Found a place that will whack the camera up my backside for about £20,.....might get it re-done in a couple of months time

[pinfold]

sorry comp re-set itself as I posted reply

Edited July 26, 2013 by pinfold