Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Breast Surgery
  •  Endocrine Surgery
  •  Gastroenterological Surgery
  •  Neurological Surgery
  •  Plastic Surgery
  •  Transplant Surgery
  •  Pediatric Surgery
  •  General Surgery


Citation: Clin Surg. 2019;4(1):2453.Research Article | Open Access

Timing of First Surveillance Colonoscopy after Curative Resection of Colorectal Cancer

Nisenboym Michal, Kopelman Doron, Shulman Katerina and Kopelman Yael

Department of Gastroenterology, Hillel-Yaffe Medical Center, Israel
Department of General Surgery, Haemek Medical Center, Israel
Department of Oncology, Hillel-Yaffe Medical Center, Israel

*Correspondance to: Kopelman Doron 

 PDF  Full Text DOI: 10.25107/2474-1647.2453


Aim: To determine the optimal time to first surveillance, to evaluate potential risk factors.
Background: Endoscopic Surveillance after Colorectal Cancer (CRC) resection enables early detection of recurrence and prophylactic resection of polyps. There is no agreement regarding the timing of first colonoscopy after CRC resection.
Methods: A retrospective data analysis of 246 CRC patients who underwent curative surgical resection between 2007 to 2013, and had at least one postoperative colonoscopy conducted up to 3 years from surgery. Demographic, disease and endoscopic-associated variables were recorded.
Results: The prevalence of pathological findings was higher among patients performing late (18 to 36 months) surveillance colonoscopy (39.6%) compared to the early (up to 18 months) surveillance group (21.5%) (p<0.005). The Receiver Operator Characteristic (ROC) analysis revealed optimal cut-off time for postoperative first surveillance colonoscopy at 17.5 months. Patients who had pathological findings were older at diagnosis compared to disease-free patients.
Conclusion: Older age and higher grade at presentation are risk factors for the presence of pathological findings on first surveillance colonoscopy. A relation between time to first surveillance colonoscopy and presence of pathological findings has been markedly highlighted. First surveillance colonoscopy was found to be optimal at 17.5 months post operation. The need to agreed guidelines is eminent.


Cite the article

Michal N, Doron K, Katerina S, Yael K. Timing of First Surveillance Colonoscopy after Curative Resection of Colorectal Cancer. Clin Surg. 2019; 4: 2453.

Search Our Journal

Journal Indexed In

Articles in PubMed

RAF Kinase Inhibitory Protein Expression and Phosphorylation Profiles in Oral Cancers
 PubMed  PMC  PDF  Full Text
Antimicrobial Peptides: A Potential Therapeutic Option for Surgical Site Infections
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 Abstract  PDF  Full Text
Blockage of Schlemm’s Canal Orifice after Ab-Interno Canaloplasty Surgery for Glaucoma
 Abstract  PDF  Full Text
View More...