What is the recommended screening timeline for familial adenomatous polyposis (FAP)?

Familial adenomatous polyposis (FAP) is a hereditary condition that significantly increases the risk of colorectal cancer due to the development of numerous polyps in the colon and rectum. The recommended screening timeline for individuals at risk of FAP involves early and regular evaluations to detect and manage these polyps effectively.

Beginning screening in the early teen years with both lower and upper endoscopy is crucial. This age range is typically when polyps begin to develop, and early intervention can prevent progression to cancer. By regularly conducting both lower and upper endoscopies during this period, healthcare providers can monitor for polyp formation, remove any existing polyps, and provide appropriate surveillance.

Screening protocols emphasize the importance of early detection and intervention in this high-risk group, as the polyp burden often increases dramatically with time, making it imperative to establish a proactive screening routine. Regular endoscopic evaluations ensure that changes can be managed timely, significantly lowering the risk of colorectal cancer associated with FAP.