Eighty-Year-Old Patient With History of a Twelve Millimeter Adenomatous Polyp Resected at Age of Seventy-Five Years

An 80-year-old man who had resection of 12-mm adenoma 5 years earlier during a screening colonoscopy is now referred for surveillance colonoscopy. Four years ago, he had a myocardial infarction and now has mild congestive heart failure, controlled with medications. Other problems include diabetes (diet-controlled) and hypertension. He has early stage prostate cancer, diagnosed 2 years earlier. He elected to have no treatment. He is vigorous and walks 2 miles every day. His physical examination is unremarkable. His lungs are clear to auscultation, and he has no jugular venous distention or peripheral edema. Should he undergo surveillance colonoscopy?

Abbreviations used in this paper: CRC, colorectal carcinoma