Updates in colorectal cancer screening in inflammatory bowel disease.

Journal Article (Journal Article;Review)

PURPOSE OF REVIEW: This review article will discuss the risk of colorectal cancer (CRC) in patients with inflammatory bowel disease (IBD), as well as the current recommendations for CRC screening and surveillance in patients with ulcerative colitis or Crohn's colitis involving one-third of the colon. RECENT FINDINGS: 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. However, recent evidence has suggested that the majority of dysplastic lesions in patients with IBD are visible, and data have been supportive of chromoendoscopy with targeted biopsies of visible lesions rather than traditional random biopsies. There have also been efforts to endoscopically remove resectable visible dysplasia and only recommend surgery when this is not possible. SUMMARY: Patients with long-standing ulcerative colitis or Crohn's colitis involving at least one-third of the colon are at increased risk for developing CRC and should undergo surveillance colonoscopy using new approaches and techniques.

Full Text

Duke Authors

Cited Authors

  • Clarke, WT; Feuerstein, JD

Published Date

  • July 2018

Published In

Volume / Issue

  • 34 / 4

Start / End Page

  • 208 - 216

PubMed ID

  • 29771698

Pubmed Central ID

  • 29771698

Electronic International Standard Serial Number (EISSN)

  • 1531-7056

Digital Object Identifier (DOI)

  • 10.1097/MOG.0000000000000448

Language

  • eng

Conference Location

  • United States