Colorectal Polyps: What to Expect After a Follow-Up Exam

Colorectal polyps with pathological changes?

Hello, my father-in-law (70 years old) had his first colonoscopy at the clinic six months ago.
At that time, two polyps were found, but they were deemed normal, and he was advised to have a follow-up in six months.
Last week, he underwent another colonoscopy, and the doctor mentioned that there are still two polyps, one of which shows some changes and needs to be monitored in three months.
I would like to ask what this means.
The doctor said it is not cancer, but my father-in-law does not understand what that implies and is somewhat worried.
If we want to seek confirmation from a larger hospital, how long should we wait? Can we have another examination in a short period of time (but since the polyp has been removed, is it possible to perform other tests on the wound)? Additionally, is it normal for two new polyps to develop in just six months?

Fengfeng, 30~39 year old female. Ask Date: 2010/09/25

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, after endoscopic removal of colorectal polyps, if the pathology report is benign, a follow-up colonoscopy can be performed in 2-3 years.
The prerequisite is that the previous examination had a thorough bowel preparation and a complete visualization.
Wishing you good health, Dr.
Chen Chih-Feng, Taoyuan General Hospital, Department of Health.

Reply Date: 2010/09/25

More Info

Understanding colorectal polyps and the implications of follow-up examinations is crucial for managing your grandfather's health. Colorectal polyps are growths on the lining of the colon or rectum, and while many are benign, some can develop into cancer over time. The fact that your grandfather had two polyps during his first colonoscopy, which were deemed normal, is a common scenario. Polyps can vary in type, size, and potential for malignancy, and regular monitoring is essential.

In your grandfather's recent follow-up examination, the discovery of two polyps, with one showing some changes, indicates that the physician is being cautious. The term "some changes" typically refers to dysplasia, which is a precancerous condition. However, it is reassuring that the doctor has stated that it is not cancer. This means that while the polyp may have abnormal cells, it has not progressed to cancerous status. The recommendation for a follow-up in three months is standard practice to monitor any changes in the polyp and to ensure that it does not progress further.

Regarding your grandfather's concerns about the frequency of polyp development, it is not uncommon for individuals, especially those over 50, to develop new polyps within a short time frame. Factors such as genetics, diet, and lifestyle can influence polyp formation. The presence of multiple polyps can indicate a higher risk for colorectal cancer, which is why regular surveillance is critical.

If your grandfather wishes to seek a second opinion from a larger medical facility, it is generally advisable to wait until the recommended follow-up period has passed, unless there are significant changes in his symptoms or health status. The healing process after polyp removal is important, and performing another invasive procedure too soon could pose risks. Typically, doctors recommend waiting at least a few weeks to a couple of months after a polypectomy (the removal of polyps) before conducting further examinations, such as another colonoscopy.

In summary, your grandfather's situation is not uncommon, and the follow-up plan is a proactive approach to ensure his health. It is essential to maintain open communication with his healthcare provider, who can explain the findings in detail and provide reassurance. If he has further concerns or experiences any new symptoms, he should not hesitate to reach out to his doctor. Regular screenings and follow-ups are vital in managing colorectal health, especially as one ages.

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