학술논문

Endoscopic Surveillance in Long-standing Colitis
Document Type
Review Paper
Source
Current Treatment Options in Gastroenterology. September 2017 15(3):429-439
Subject
Inflammatory bowel disease
Surveillance
Chromoendoscopy
Colorectal cancer
Dysplasia
Random biopsy
Language
English
ISSN
1092-8472
1534-309X
Abstract
Opinion statement:There is a relative increase in the risk of colon cancer in patients with inflammatory bowel disease (IBD) affecting the colon, and endoscopic surveillance is advocated to mitigate this risk. The current standard practice is to survey this high-risk patient population using colonoscopy. Chromoendoscopy with targeted biopsies has emerged as the colonoscopy modality recommended by the major societies to optimize dysplasia detection. Studies over the past year support the improved yield from targeted as compared to random biopsies and improved dysplasia detection from chromoendoscopy as compared to white light endoscopy. Ongoing efforts should focus on the implementation of chromoendoscopy as the primary modality for colorectal cancer surveillance in IBD. Our review will describe current status and provide an update on the recent literature on surveillance colonoscopy in patients with IBD.

Online Access