Recommendations of the Spanish Working Group on Crohn's disease and Ulcerative Colitis (Grupo Español de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa - GETECCU) on dysplasia screening in inflammatory bowel disease patients

Gastroenterol Hepatol. 2021 Jun-Jul;44(6):435-447. doi: 10.1016/j.gastrohep.2020.12.011. Epub 2021 Feb 13.
[Article in English, Spanish]

Abstract

Colonic inflammatory bowel diseases have a higher risk of developing colorectal cancer compared to the general population, which is why they require endoscopic screening techniques with specific follow-up intervals based on the different risk factors described on the literature. This position paper analyzes the current scientific evidence for the different endoscopic techniques available today, how their implementation should be carried out in endoscopic units and describes in detail how their implementation should be carried out, in which patients and with what interval, and finally, what should be the response to finding dysplasia, proposing a specific follow-up algorithm.

Keywords: Chromoendoscopy; Colitis ulcerosa; Crohn's disease; Cromoendoscopia; Displasia; Dysplasia; Enfermedad de Crohn; Enfermedad inflamatoria intestinal; Inflammatory bowel disease; Ulcerative colitis.

Publication types

  • Practice Guideline

MeSH terms

  • Carcinoma in Situ / diagnostic imaging*
  • Colitis, Ulcerative / complications
  • Colorectal Neoplasms / diagnostic imaging*
  • Colorectal Neoplasms / etiology
  • Coloring Agents*
  • Consensus*
  • Crohn Disease* / complications
  • Early Detection of Cancer
  • Endoscopy, Gastrointestinal / methods*
  • Endoscopy, Gastrointestinal / standards
  • Humans
  • Inflammatory Bowel Diseases / complications*
  • Spain

Substances

  • Coloring Agents