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Surveillance issues in inflammatory bowel disease: ulcerative colitis.

Publication ,  Journal Article
Provenzale, D; Onken, J
Published in: J Clin Gastroenterol
February 2001

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.

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Published In

J Clin Gastroenterol

DOI

ISSN

0192-0790

Publication Date

February 2001

Volume

32

Issue

2

Start / End Page

99 / 105

Location

United States

Related Subject Headings

  • United States
  • Survival Rate
  • Population Surveillance
  • Models, Economic
  • Mass Screening
  • Male
  • Life Expectancy
  • Humans
  • Health Care Rationing
  • Gastroenterology & Hepatology
 

Citation

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Provenzale, D., & Onken, J. (2001). Surveillance issues in inflammatory bowel disease: ulcerative colitis. J Clin Gastroenterol, 32(2), 99–105. https://doi.org/10.1097/00004836-200102000-00003
Provenzale, D., and J. Onken. “Surveillance issues in inflammatory bowel disease: ulcerative colitis.J Clin Gastroenterol 32, no. 2 (February 2001): 99–105. https://doi.org/10.1097/00004836-200102000-00003.
Provenzale D, Onken J. Surveillance issues in inflammatory bowel disease: ulcerative colitis. J Clin Gastroenterol. 2001 Feb;32(2):99–105.
Provenzale, D., and J. Onken. “Surveillance issues in inflammatory bowel disease: ulcerative colitis.J Clin Gastroenterol, vol. 32, no. 2, Feb. 2001, pp. 99–105. Pubmed, doi:10.1097/00004836-200102000-00003.
Provenzale D, Onken J. Surveillance issues in inflammatory bowel disease: ulcerative colitis. J Clin Gastroenterol. 2001 Feb;32(2):99–105.

Published In

J Clin Gastroenterol

DOI

ISSN

0192-0790

Publication Date

February 2001

Volume

32

Issue

2

Start / End Page

99 / 105

Location

United States

Related Subject Headings

  • United States
  • Survival Rate
  • Population Surveillance
  • Models, Economic
  • Mass Screening
  • Male
  • Life Expectancy
  • Humans
  • Health Care Rationing
  • Gastroenterology & Hepatology