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Can Bowel Polyps Re-grow After A Colonoscopy?

Posted on Wed, 8 Jun 2016

Question: I've a colon polyp removed in end of 2014. Not remember it is villous or tubulovillous adenoma. My doctor told me to screen for polyps again by end of 2015. But since I am working out of my county and cannot back home until this May. Am I putting my life in danger with 5 months delay for another screening? I am getting quite worried.

Answered by Dr. Amit Jain (4 hours later)

Brief Answer:
Yes you can delay colonoscopy for 5 months without any risk

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.

I can understand your concerns

Specific follow-up interval (Next colonoscopy) is determined by prior colonoscopic findings (polyp size, number of polyp), histology of polyp, family history, patient preference, and clinical judgment.

Usually with single polyp that of size <1cm with no family histroy with Tubulous variety one should undergo next colonoscopy in 5-10 years.

However if the polyp size > 1cm, pure villous type, more than 3 in number with family history positive. Then one must go colonoscopy in 3 years

And as you said that polyp was removed in Nov 2014, and it was of villous or tubulovillous, however you haven't mentioned the numbers, even if it is more than 3 then you can get colonoscopy in 3 years. So delaying for 6 months will not carry risk. So keep cool

I hope I have answered your query and this will help you . Wish you a good health

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Amit Jain (2 hours later)

Hello,

Thans for the answer. Here is the detail report, please advise if it should still be OK for delaying colonoscopy for 6 months with minimum risk.

1) Ascending colon polyp, Tubulovillous adenoma. A XXXXXXX colored colonic polyp without stalk. It measures 1.2 cm in maximal dimension. All embedded in 2 tissue blocks in 1 cassette

2) Sigmoid polyp, Tubular adenoma. A XXXXXXX colored polyp 0.2 cm. All embedded in 1 tissue block in 1 cassette

Thanks in advance!

Answered by Dr. Amit Jain (2 days later)

Brief Answer:
you can easily delay for 6 months

Detailed Answer:
Welcome back and sorry for delay

As per detail you should undergo colonoscopy within 3 yrs of prior colonoscopy so you can easily delay for 6 months

Wish you a good helath

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad