Surveillance issues in inflammatory bowel disease: ulcerative colitis.

Published

Journal Article

This review article on the surveillance of patients with ulcerative colitis provides an overview of the criteria for evaluating screening and surveillance programs and applies the criteria to the available evidence to determine the effectiveness of the surveillance of patients with ulcerative colitis. We examine the clinical outcomes associated with surveillance, the additional clinical time required to confirm the diagnosis of dysplasia and cancer, compliance with surveillance and follow-up, and the effectiveness of the individual components of a surveillance program, including colonoscopy and pathologist's interpretation. The disability associated with colectomy is considered, as are the cost and acceptability of surveillance programs. Patients with long-standing ulcerative colitis are at risk for developing colorectal cancer. Recommended surveillance colonoscopy should be supported. New endoscopic and histopathologic techniques to improve the identification of high-risk patients may enhance the effectiveness and cost-effectiveness of surveillance practices.

Full Text

Duke Authors

Cited Authors

  • Provenzale, D; Onken, J

Published Date

  • February 2001

Published In

Volume / Issue

  • 32 / 2

Start / End Page

  • 99 - 105

PubMed ID

  • 11205664

Pubmed Central ID

  • 11205664

International Standard Serial Number (ISSN)

  • 0192-0790

Digital Object Identifier (DOI)

  • 10.1097/00004836-200102000-00003

Language

  • eng

Conference Location

  • United States