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Post-polypectomy surveillance — ESEGH MCQ

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HardEndoscopyPost-polypectomy surveillanceESEGH

A 59-year-old woman undergoes screening colonoscopy. Findings are three adenomas, including a 12 mm tubular adenoma in the ascending colon and two 4 mm adenomas in the sigmoid. Resection is complete and bowel preparation is good. What is the most appropriate management?

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Correct answer: C — Surveillance colonoscopy in three years

The best answer is “Surveillance colonoscopy in three years”. Surveillance colonoscopy at 3 years The alternatives “Annual CT colonography for life”, “Repeat colonoscopy in 10 years”, “No surveillance because there are fewer than five polyps”, “Right hemicolectomy, after multidisciplinary assessment” are plausible in related gastroenterology presentations but do not match the defining finding, threshold, sequence or UK pathway in this stem.

Reference: NHS bowel cancer screening programme: https://www.nhs.uk/tests-and-treatments/bowel-cancer-screening/