Screening Guidelines for Increased Risk

INCREASED RISKS RECOMMENDATIONS
People with close relatives who have had colorectal cancer or an adenomatous polyp Early surveillance with endoscopy or colonoscopy, counseling to consider genetic testing and referral toa specialty center.
People with a family history of familial adenomatous polyposis Early surveillance with endoscopy or colonoscopy, counseling to consider genetic testing and referral to a specialty center.
People with family history of hereditary nonpolyposis colorectal cancer. Colonoscopy and counseling to consider genetic testing. If positive or no genetic testing, colonoscopy every two years until age 40 and every year thereafter.
People with a history of large (>1 cm diameter) or multiple adenomatous polyps Colonoscopy at the time of the initial polyp diagnosis. Then colonoscopy or DCBE after one year. If this test is normal, then a follow-up test in five years. If this is normal, test every five years.
People with a history of colorectal cancer that has been resected with curative intent. Colonoscopy or DCBE at the one-year intervals after resection. If two consecutive exams are negative, then subsequent exam after three years. Then if normal, an examination every five years.
People with inflammatory bowel disease Initial colonoscopy for screening with biopsies for dysplasia after eight years with the disease.

Information obtained from:

ACS- American Cancer Society Detection and Treatment Advisory Group on Colorectal Cancer
USPSTF- U.S.Preventative Services Task Force is an independent expert panel charged by the U.S. Department of Health and Human Services. The expert panel was assembled by contract of the Federal Agency for Health Care Policy and Research (AHCPR) with the American Gastroenterological Association (AGA).
ASGE- The American Society of Gastrointestinal Endoscopy, founded in 1941
CDC- Centers for Disease Control and Prevention is an organization of the U.S. Department of Health and Human Services.