Toward a consensus on endoscopic surveillance of patients with colonic inflammatory bowel disease

Gastrointest Endosc Clin N Am. 2014 Jul;24(3):469-81. doi: 10.1016/j.giec.2014.03.006. Epub 2014 May 6.

Abstract

Surveillance colonoscopy in patients with inflammatory bowel disease (IBD) with colonic involvement is recommended by multiple national and international gastrointestinal societies. Recommendations differ on the timing of initial screening colonoscopy, recommended surveillance intervals, optimal technique for dysplasia detection, and management of endoscopically visible and nonvisible dysplasia. This article reviews current society guidelines, highlighting similarities and differences, in an attempt to summarize areas of consensus on surveillance protocols in IBD, while drawing attention to controversial areas in need of further research.

Keywords: Chromoendoscopy; Colitis surveillance; Colonoscopy; IBD-associated colorectal cancer; IBD-associated colorectal neoplasia.

Publication types

  • Review

MeSH terms

  • Colon / pathology*
  • Colonoscopy / methods*
  • Colorectal Neoplasms / diagnosis
  • Colorectal Neoplasms / etiology
  • Colorectal Neoplasms / pathology*
  • Consensus*
  • Early Detection of Cancer / methods*
  • Humans
  • Inflammatory Bowel Diseases / complications
  • Inflammatory Bowel Diseases / pathology*
  • Practice Guidelines as Topic*
  • Precancerous Conditions / diagnosis
  • Precancerous Conditions / etiology
  • Precancerous Conditions / pathology*