Endoscopic and chromoendoscopic atlas featuring dysplastic lesions in surveillance colonoscopy for patients with long-standing ulcerative colitis

被引：40

作者：

Matsumoto, Takayuki ^{[1
]}

Iwao, Yasushi ^{[3
]}

Igarashi, Masahiro ^{[2
]}

Watanabe, Kenji ^{[4
]}

Otsuka, Kazuo ^{[5
]}

Watonabe, Toshiaki ^{[6
]}

Iizuka, Bunei ^{[7
]}

Hido, Nobuyuki ^{[1
]}

Soda, Miwo ^{[8
]}

Chiba, Toshimi ^{[9
]}

Kudo, Shin-ei ^{[5
]}

Shitani, Nobuhide ^{[4
]}

Nogowa, Hirokazu ^{[10
]}

Ajioka, Yoichi ^{[11
]}

Hibi, Toshifumi ^{[3
]}

机构：

[1] Hyogo Coll Med, Dept Lower Gastroenterol, Nishinomiya, Hyogo, Japan

[2] Canc Inst Hosp, Endoscopy Div, Tokyo, Japan

[3] Keio Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Tokyo, Japan

[4] Osaka City Univ, Dept Gastroenterol, Grad Sch Med, Osaka 558, Japan

[5] Showa Univ, No Yokohama Hosp, Ctr Digest Dis, Yokohama, Kanagawa, Japan

[6] Teikyo Univ, Sch Med, Dept Surg, Tokyo 173, Japan

[7] Tokyo Womens Med Univ, Dept Gastroenterol, Tokyo, Japan

[8] Kitasato Univ, East Hosp, Dept Gastroenterol, Sagamihara, Kanagawa 228, Japan

[9] Iwate Med Univ, Dept Internal Med 1, Iwate, Japan

[10] Univ Tokyo, Dept Surg Oncol, Grad Sch Med, Tokyo, Japan

[11] Niigata Univ, Grad Sch Med & Dent Sci, Div Mol & Diagnost Pathol, Niigata, Japan

来源：

INFLAMMATORY BOWEL DISEASES | 2008年 / 14卷 / 02期

关键词：

ulcerative colitis; dysplasia; cancer surveillance; chromoendoscopy; endoscopy;

D O I：

10.1002/ibd.20267

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Clinical and epidemiological studies have revealed that the incidence of colorectal cancer associated with ulcerative colitis increases with long-term chronic inflammation. Careful endoscopic observation and histological studies to check for dysplasia in the colon are important in detecting neoplasia. Current surveillance protocols mainly involve frequent step biopsies to yield a reasonable rate of dysplasia detection. However, recent studies using chromoendoscopy or magnifying endoscopy have proposed that neoplastic changes may be detected efficiently. Therefore, it is very important to understand the typical endoscopic findings found in neoplastic changes in patients proven to have long-standing ulcerative colitis. In this review, we demonstrate the typical endoscopic findings by conventional endoscopy and chromoendoscopy.

引用

页码：259 / 264

页数：6

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