Tu1845 COMPARATIVE EFFECTIVENESS OF SURVEILLANCE COLONOSCOPY TIMING ON COLORECTAL CANCER OUTCOMES (STAGE, TREATMENT, MORTALITY) IN A NATIONAL COHORT OF PATIENTS WITH INFLAMMATORY BOWEL DISEASE

2020 ◽  
Vol 158 (6) ◽  
pp. S-1185
Author(s):  
Jason K. Hou ◽  
Hyunseok Kim ◽  
Ruben Hernaez ◽  
Shubhada Sansgiry ◽  
Akbar K. Waljee ◽  
...  
2019 ◽  
Vol 17 (8) ◽  
pp. 32-37
Author(s):  
Sara Koo ◽  
Jignesh Jatania ◽  
Colin Rees

Patients with inflammatory bowel disease (IBD), including both ulcerative colitis and Crohn's disease, are at an increased risk of developing colorectal cancer. It is well accepted that this risk increases after 8–10 years of disease duration. Patients should be offered a surveillance colonoscopy after this time. Previously, white-light endoscopy with random biopsies every 10 cm was undertaken for surveillance, but recent evidence suggests that chromoendoscopy along with targeted biopsy is superior to this and the other available methods. This article reviews the available evidence for IBD surveillance, surveillance guidelines and the evidence for chromoendoscopy. Additionally, an overview of the assessment, reporting of any visible abnormal lesions and management of subsequently proven dysplastic lesions is given.


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