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S. gallolyticus Endocarditis — SCE Infectious Diseases MCQ

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HardBone & Joint InfectionS. gallolyticus EndocarditisSCE Infectious Diseases

During colonoscopy after S. gallolyticus endocarditis, a 30 mm non-pedunculated adenoma is removed piecemeal by EMR. Histology shows low-grade dysplasia and no invasive cancer. Which surveillance is required for the resection site?

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Correct answer: B — Inspect the EMR site at 2–6 months and again at 12–18 months

BSG guidance calls for an early site check at 2–6 months and a further site check 12–18 months after piecemeal resection of a non-pedunculated colorectal lesion at least 20 mm. The original answer incorrectly applied a simple three-year rule to a 30 mm lesion without specifying en-bloc versus piecemeal removal.

Reference: BSG post-polypectomy guideline: https://www.bsg.org.uk/BSG/media/BSG-Media/201-full_.pdf