New Recommendations Aim to Improve Identification and Management of Serrated Polyposis Syndrome

Serrated Polyposis Syndrom: A review ad Consensus Statement by the U.S. Multi-Society Task Force on Colorectal Cancer.

New Recommendations Aim to Improve Identification and Management of Serrated Polyposis Syndrome

New consensus recommendations by the U.S. Multi-Society Task Force (MSTF) on Colorectal Cancer (CRC) address serrated polyposis syndrome (SPS), which is the most common gastrointestinal polyp syndrome yet is widely underrecognized. SPS is a clinical syndrome characterized by more serrated lesions and is associated with an increased risk of CRC.

The MSTF offers 11 evidence-based recommendations to increase awareness and identification of SPS among gastroenterologists and surgical endoscopists and offers clinical strategies for improving SPS diagnosis, surgical and endoscopic management, CRC risk and surveillance intervals, and genetic risk assessment.

"These recommendations emphasize recognition of the syndrome, including by tracking numbers of serrated polyps over multiple colonoscopies,” said lead author Douglas K. Rex, MD, MACP, MACG, MASGE, AGAF.

The MSTF includes representatives from the ACG, AGA, and ASGE. This consensus document is published online today in the three societies’ respective scientific journals.



U.S. Multi-Society Task Force on Colorectal Cancer, Serrated Polyposis Syndrome: A Review and Consensus Statement by the U.S. Multi-Society Task Force on Colorectal Cancer

Douglas K. Rex, MD, MACP, MACG, MASGE, AGAF; Joseph C. Anderson, MD, MHCDS, FACG; Carol A. Burke, MD, MACG, AGAF, FASGE; Brian C. Jacobson, MD, MPH, FACG, AGAF, FASGE; Folasade P. May, MD, PhD, MPhil, FACG, AGAF; Swati G. Patel, MD, MS; N. Jewel Samadder, MD, FACG, AGAF; Elena M. Stoffel, MD, MPH; and Douglas J. Robertson, MD, MPH, AGAF

Read in:

The American Journal of Gastroenterology
Gastroenterology

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Gastrointestinal endoscopic procedures allow the gastroenterologist to visually inspect the upper gastrointestinal tract (esophagus, stomach and duodenum) and the lower bowel (colon and rectum) through an endoscope, a thin, flexible device with a lighted end and a powerful lens system. Endoscopy has been a major advance in the treatment of gastrointestinal diseases. For example, the use of endoscopes allows the detection of ulcers, cancers, polyps and sites of internal bleeding. Through endoscopy, tissue samples (biopsies) may be obtained, areas of blockage can be opened and active bleeding can be stopped. Polyps in the colon can be removed, which has been shown to prevent colon cancer.

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