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Risk factors for metachronous adenoma in the residual colon of patients undergoing curative surgery for colorectal cancer

International Journal of Colorectal Disease Oct 13, 2017

Patel A, et al. - Adenoma incidence and recurrence were investigated in patients who have undergone colorectal cancer resection with curative intent. In addition, the authors aimed to compared survival outcomes to ascertain if the presence of adenomas could be used to identify patients at higher risk of local recurrence. Despite undergoing colonic resection, patients with synchronous adenoma remained at high risk of adenoma recurrence and needed to be considered for early endoscopic surveillance. In the long term, men and those undergoing right-sided resection had a higher risk of metachronous adenoma and could benefit from more frequent endoscopic surveillance post resection.
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