Suggested Pre-Referral Evaluation and Management Guidelines
Surgical referral is indicated colon polyps that cannot be removed endoscopically, or for which invasive cancer is suspected or cannot be excluded.
If polyp is not removed endoscopically, consider referral to gastroenterology, advanced endoscopy group, for evaluation for endoscopic mucosal resection rather than surgical referral
For patients with multiple resected polyps, consider referral to cancer genetics rather than surgical referral.
If colonoscopy and biopsy were performed outside of the UMHS system, reports should be faxed and pathology slides should be mailed for confirmatory review by our pathologists at or before the time of the clinic visit. Receiving these prior to the clinic visit is preferable.
Suggested Additional Test/Management Prior to Specialty Visit
It would be helpful if the location of the polyp is identified by tattooing the colon circumferentially at the site
UMHS Patients: See MiChart
Reports and/or medical records can be faxed to 734-232-6189
CDs can be hand-carried to the appointment
Reports, medical records, CDs, and pathology slides can be mailed to:
Division of Colorectal Surgery
Attention: Jain Carver
1500 East Medical Center Drive, SPC 5343
Ann Arbor, MI 48109-5343