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Previous Volume 355:2551-2557 December 14, 2006 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 52-year-old man with no personal or family history of colon cancer, colonic polyps, or inflammatory bowel disease underwent a screening colonoscopy that showed no abnormalities except for a 1.5-cm pedunculated polyp at the hepatic flexure that was removed by means of a snare with cautery. The polyp was a tubulovillous adenoma without high-grade dysplasia. How should his care be managed?

The Clinical Problem

In . . . [Full Text of this Article]

Strategies and Evidence

Colonoscopic Polypectomy and Surveillance

Nutritional Management and Chemoprevention

Guidelines

Areas of Uncertainty

Controversies Regarding Surveillance after Polypectomy

Surveillance for Relatives of Patients with Adenomas

Summary and Recommendations

Source Information

From the University of Colorado School of Medicine (J.S.L., D.J.A.) and the Denver Department of Veterans Affairs Medical Center (D.J.A.) — both in Denver.

Address reprint requests to Dr. Ahnen at the Gastroenterology Section (111E), Denver Department of Veterans Affairs Medical Center, 1055 Clermont St., Denver, CO 80220, or at dennis.ahnen@uchsc.edu.

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• Flossmann, E., Rothwell, P. M (2007). Commentary: Aspirin and colorectal cancer an epidemiological success story. Int J Epidemiol 36: 962-965 [Full Text]  
• Lieberman, D. (2006). A Call to Action -- Measuring the Quality of Colonoscopy. NEJM 355: 2588-2589 [Full Text]