TU2.5 Compliance of colonic polyp surveillance with British Society of Gastroenterology (BSG) and the Association of Coloproctology of Great Britain and Ireland (ACPGBI) guidelines

Abstract

Abstract Introduction The guidelines for post-polypectomy and post-colorectal cancer resection have recently been changed after consensus by the British Society of Gastroenterology, the Association of Coloproctology of Great Britain and Ireland and Public Health England. The aim of our study is to evaluate the rate of compliance with the recommended guidelines following polyp removal. Methods The data was collected retrospectively by reviewing the colonoscopy database in a single centre district general hospital for all patients who underwent polypectomy during April-September 2021. We excluded patients who had prior history of colorectal malignancy. The frequency of subsequent colonoscopic surveillance were evaluated against the BSG/ACPGBI guidelines based on the clinico-histological characteristics of the removed polyps. Results There were 104 colonoscopies with polypectomies performed during April-September 2021. The patient cohort had a mean age of 65 years (range, 35–85 years), with the most common diagnosis being tubular adenoma with low grade dysplasia (n=86, 82.7%). Adherence to BSG/ACPGBI colonoscopic post-polypectomy surveillance guidelines, based on the characteristics of the colonic polyps at colonoscopy and histology, was 86.5% (n=90). There were 5 (4.8%) patients who had their surveillance endoscopy requested earlier than recommended and 8 (7.7%) patients had a surveillance colonoscopy requested but did not require any surveillance. 1 patient had colonoscopy requested later than recommended. There was no significant difference in compliance between physicians (87.5%) and surgeons (86.1%). Conclusion There is a high compliance with post-polypectomy surveillance guidelines. However more efforts and staff training are required to improve compliance even further.