Colonoscopy Family History Guidelines

Previous Australian Guidelines Recommended Colonoscopy For People At Moderately Increased Risk (Category 2) And People At High Risk (Category 3) Due To Family History.

Category 2 and 3 as recommended in the new zealand 2012 guidelines (www.health.govt.nz): Interval to next exam is 10 years. An overview of colonoscopy coding guidelines.

1.1.3 Offer Colonoscopic Surveillance To People With Ibd As Defined In Recommendation 1.1.1 Based On Their Risk Of Developing Colorectal Cancer (See Box.

People ages 50 to 74 without a family history of colorectal cancer who choose to be screened with flexible sigmoidoscopy should be screened every 10 years. Based on current recommendations, most people start colorectal cancer screening at age 45, but if you have a family history your doctor may recommend the following: Diagnosed at any age (with family history not suggestive of genetic syndrome) colonoscopy every 5 years starting at age 40, or 10 years before the youngest case in the family was diagnosed, whichever comes first.** *our expert opinion is that this applies to relatives with advanced adenomas

The Rationale For This Change Is That, Although The Rr Of Developing Crc Is Certainly Higher In Patients With An Fdr Diagnosed At An Age Younger Than 50 Years (Rr = 3.55;

Screening recommendations for these people depend on who in the family had cancer and how old they were when it was diagnosed. The following are suggested guidelines for how often you should get a colonoscopy if you have a gastrointestinal condition: Family history of colorectal cancer individuals in the categories below should be offered direct access surveillance colonoscopy:

Guidance From The Canadian Association Of Gastroenterology.

Further information, including appropriate time intervals for surveillance, is provided in explanatory note tn.8.152. People with a high risk due to their family history (category 3) are recommended biennial ifobt from age 35 to 44 years, then colonoscopy every 5 years from age 45 to 74 years. No precancerous polyps, no significant family history or advanced polyps:

Colonoscopy Starting At Age 40, Or 10 Years Before The Age That The Immediate Family Member Was Diagnosed With Cancer, More Frequent Screening, Colonoscopy Only Instead Of Other Tests, And

National clinical practice guidelines support the use of fobt as a first line test for patients with a low risk family history of colorectal cancer, that is, for patients that do not meet the definition of moderate risk. Some people with a family history will be able to follow the recommendations for average risk adults, but others might need to get a colonoscopy (and not any other type of test) more often, and possibly starting before age 45. 10 family physicians should treat all patients with a first.