Age is not just a number: surveillance colonoscopy is low yield in individuals younger than 50

For the colonoscopist, deciding on a repeat interval after a screening or surveillance examination is among the more difficult and consequential intellectual tasks associated with colonoscopy. It is also the moment when an individual colonoscopist's decision can greatly influence the overall efficiency of a colon cancer screening program. To better prevent colon cancers while controlling the morbidity and costs of our procedures, we need to do more colonoscopies on patients who will truly benefit and fewer colonoscopies on those who will not benefit.

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