Colorectal Cancer Screening in Inflammatory Bowel Disease

被引：0
作者：
Neil Sengupta
Eric Yee
Joseph D. Feuerstein
机构：
[1] Beth Israel Deaconess Medical Center,Division of Gastroenterology
[2] Beth Israel Deaconess Medical Center,Division of Pathology
来源：
Digestive Diseases and Sciences | 2016年 / 61卷
关键词：
Colon cancer screening; Inflammatory bowel disease; Ulcerative colitis; Crohn’s disease;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Patients with long-standing ulcerative colitis (UC) or Crohn’s colitis are at increased risk of developing colorectal cancer (CRC). Given that most cases of CRC are thought to arise from dysplasia, previous guidelines have recommended endoscopic surveillance with random biopsies obtained from all segments of the colon involved by endoscopic or microscopic inflammation. However, recent evidence has suggested that the majority of dysplastic lesions in patients with inflammatory disease (IBD) are visible, and data have been supportive of chromoendoscopy with targeted biopsies of visible lesions versus traditional random biopsies. This review article will discuss the risk of colon cancer in patients with IBD, as well as current recommendations for CRC screening and surveillance in patients with UC or Crohn’s colitis.
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页码：980 / 989
页数：9
相关论文
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