From the Research
For 5 hyperplastic polyps in the rectum, follow-up colonoscopy is recommended in 5-10 years, assuming there are no other risk factors. Hyperplastic polyps in the rectum are generally considered benign and have very low malignant potential, especially when small and located in the rectosigmoid region 1. No specific medication or treatment is needed for these polyps as they were likely already removed during the initial colonoscopy. However, maintaining a healthy lifestyle with a diet high in fiber, regular exercise, limited alcohol consumption, and avoiding smoking can help reduce the risk of developing new polyps. Some studies suggest that hyperplastic polyposis syndrome, characterized by multiple hyperplastic polyps, may be associated with an increased risk of colorectal cancer 2, 3, 4. However, these studies are not directly applicable to the case of 5 hyperplastic polyps in the rectum, as they focus on more extensive polyposis. If you have a family history of colorectal cancer, multiple polyps, or other risk factors, your gastroenterologist might recommend a shorter follow-up interval of 3-5 years 5. During the follow-up period, be alert to symptoms such as rectal bleeding, changes in bowel habits, or abdominal pain, which should prompt earlier medical evaluation. The recommendation for 5-10 year follow-up is based on the understanding that hyperplastic polyps in the rectum progress very slowly, if at all, and the risk of developing significant pathology in this timeframe is minimal. Key points to consider include:
- Hyperplastic polyps are generally benign
- Maintaining a healthy lifestyle can reduce the risk of developing new polyps
- Family history and other risk factors may influence follow-up interval
- Symptoms such as rectal bleeding or changes in bowel habits should prompt earlier medical evaluation.