Guideline for Follow-Up surveillance. Colonoscopy
[select name="A1" value="Normal(no polyps or normal bx results)|Hyperplastic polyps Small (less than 10 mm) hyperplastic polyps in rectum or sigmoid|Low risk polyps 1 or 2 small (less than 10 mm) tubular adenomas|Small sessile serrated polyp (less than 10 mm without dysplasia)|High-risk polyps 3 to 10 tubular adenomas|High-risk polyps tubular adenoma or serrated polyp that is equal or more than 10 mm|High-risk polyp adenoma with villous features or high-grade dysplasia|High-risk polyp sessile serrated polyp with cytologic dysplasia|High-risk polyp traditional serrated adenoma|More than 10 adenomas|Serrated polyposis syndrome|Following piecemeal removal of a large more than 15 mm sessile adenoma or serrated polyp|Following curative resection of colorectal cancer"] [conditional field="A1" condition="(A1).is('Normal(no polyps or normal bx results)')"] 10 years[/conditional] [conditional field="A1" condition="(A1).is('Hyperplastic polyps Small (less than 10 mm) hyperplastic polyps in rectum or sigmoid')"] 10 years[/conditional] [conditional field="A1" condition="(A1).is('Low risk polyps 1 or 2 small (less than 10 mm) tubular adenomas')"] 5 to 10 years[/conditional] [conditional field="A1" condition="(A1).is('Small sessile serrated polyp (less than 10 mm without dysplasia)')"]5 years[/conditional] [conditional field="A1" condition="(A1).is('High-risk polyps 3 to 10 tubular adenomas')"] 3 years[/conditional] [conditional field="A1" condition="(A1).is('High-risk polyps tubular adenoma or serrated polyp that is equal or more than 10 mm')"] 3 years[/conditional] [conditional field="A1" condition="(A1).is('High-risk polyp adenoma with villous features or high-grade dysplasia')"] 3 years[/conditional] [conditional field="A1" condition="(A1).is('High-risk polyp sessile serrated polyp with cytologic dysplasia')"]3 years[/conditional] [conditional field="A1" condition="(A1).is('High-risk polyp traditional serrated adenoma')"]3 years[/conditional] [conditional field="A1" condition="(A1).is('More than 10 adenomas')"]less than 3 years[/conditional] [conditional field="A1" condition="(A1).is('Serrated polyposis syndrome')"]1 year[/conditional] [conditional field="A1" condition="(A1).is('Following piecemeal removal of a large more than 15 mm sessile adenoma or serrated polyp')"]less than 1 year[/conditional] [conditional field="A1" condition="(A1).is('Following curative resection of colorectal cancer')"] 1 year after resection, then 3 and 5 years if normal[/conditional]
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Sandbox Metrics: Structured Data Index 1, 14 form elements, 1 drop downs, 13 conditionals, 1 total clicks
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