Follow up

author/s: Dr Joan Carles i Galceran

 

Follow up protocol for colorectal carcinoma

Patients with colorectal cancer (CRC) in stage I will be followed up to detect the appearance of a second tumour or polyps with colonoscopy every 3 to 5 years.

In patients with a colorectal cancer in stage II or III, the follow up will include anamnesis, physical exploration, tumoral markers in blood (CEA), abdominal ultrasound and lower digestive endoscopy. The idoneity to perform an abdominopelvic tomography (CAT) in patients with a tumour of the rectum should be assessed.

If the preoperative exploration was incomplete, a new colonoscopy should be performed in the postoperative period.

The endoscopic exploration of the thick intestine, in case it was normal, will be performed every 3 years. As an alternative, in patients that do not tolerate this exploration, a proctoscopy and opaque enema will be done instead.

After the 5th year, the follow up will be done basically to detect metachronic cancer of the colon (later on in time).