Is 35 the new 50? Challenges in determining colonoscopy surveillance recommendations for young patients with incidentally detected adenomas

There has been significant publicity recently regarding increasing rates of colorectal carcinoma (CRC) in young patients aged 20 to 45 years. Last year in the Journal of the National Cancer Institute, a publication by Siegel et al1 entitled "Colorectal cancer incidence patterns in the United States, 1974-2013" demonstrated that young adults now have double the risk for the development of colon cancer and quadruple the risk for the development of rectal cancer, compared with their age-matched counterparts born in 1950.

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