Lynch syndrome (HNPCC) surveillance: European Society of Gastrointestinal Endoscopy (ESGE) recommendations
-ESGE recommends starting colonoscopy surveillance at the age of 25 years for MLH1 and MSH2 mutation carriers and at the age of 35 years for MSH6 and PMS2 mutation carriers.
-ESGE recommends a high quality surveillance colonoscopy every 2 years in asymptomatic individuals with Lynch syndrome.
-ESGE does not recommend routine gastric surveillance in individuals with Lynch syndrome.
-ESGE suggests (non-invasive) testing for Helicobacter pylori in individuals with Lynch syndrome.
-Transvaginal ultrasound every 2 years from 40-60 years
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