Endoscopic screening for CRC

When should endoscopic screening begin for individuals with a family history of CRC? How often should endoscopic surveillance be performed in these individuals? 

Endoscopic screening for CRC should begin at age 40 or 10 years younger than the affected relative in individuals with a first-degree relative with CRC. Surveillance endoscopy should be scheduled every 3 to 5 years if the relative was younger than age of 60 at diagnosis. Individuals with a first-degree relative with CRC or advanced adenomas diagnosed at age 60 years or older can be screened like average-risk persons. Patients with a second- or third-degree relative with CRC should adhere to average-risk screening recommendations.

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