Advanced imaging in colonoscopy: contemporary approach to dysplasia surveillance in inflammatory bowel disease

Beintaris, Iosif; Rutter, Matt

doi:10.1136/flgastro-2016-100735

Cited by 7 publications

(4 citation statements)

References 66 publications

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“…The percentage of patients with dysplasia on targeted biopsies was reported to be 80.4% by standard-definition colonoscopy, 90.6% by highdefinition colonoscopy, and 90.2% by chromoendoscopy [12]. Our patients had not undergone chromoendoscopy during their SCs.…”

Section: Discussionmentioning

confidence: 70%

Disseminated Colitic Cancer Identified in Two Patients who had Undergone Surveillance Colonoscopies: A Case Report

Matsuda

Hashiguchi

Asako

et al. 2020

Asp Biomed Clin Case Rep

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Background: It was reported that in surveillance colonoscopy (SC), targeted and random biopsies detected similar proportions of neoplasias. However, that study was conducted by experienced endoscopists familiar with colitic cancer. We report two cases of disseminated colitic cancer in patients who had undergone SC. Case Presentation: Case-1: A 69-year-old Japanese man first suffered from ulcerative colitis (UC) in 1979. Annual SCs had been performed since 1998. In 2017, colonoscopy confirmed a cancer in the ascending colon. A laparoscopy-assisted anal-preserving total proctocolectomy was performed in 2018. Histological findings showed the cancer reaching serosa and lymph node metastasis. Peritoneal dissemination occurred 1 year after the surgery. Two years after the first surgery, an ileostomy was created due to bowel obstruction caused by peritoneal dissemination. Case-2: A 77-year-old Japanese man was diagnosed with UC at another hospital in 2010. SCs were performed annually since 2011. In April 2019, he developed frequent bowel movements, bleeding, and weight loss. Colonoscopy revealed stenosis at the rectum and sigmoid colon. The biopsy revealed adenocarcinoma. Laparoscopy-assisted surgery was performed in July 2019. The yellow ascites was aspirated and submitted for lavage cytology, which revealed signet-ring cell carcinoma. Many white nodules were found in the peritoneum and were diagnosed as peritoneal dissemination. A colostomy was performed. Chemotherapy was administered. Five months have passed since the operation, and the patient is alive. Conclusion: Chromoendoscopy had not been performed in either patient. It is advisable to use chromoendoscopy when a target biopsy is performed.

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Section: Discussionmentioning

confidence: 70%

Disseminated Colitic Cancer Identified in Two Patients who had Undergone Surveillance Colonoscopies: A Case Report

Matsuda

Hashiguchi

Asako

et al. 2020

Asp Biomed Clin Case Rep

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“…In this study, 70% of respondents favored advanced imaging. However, the clear benefit of narrow band imaging over conventional white light endoscopy or chromoendoscopy was not elucidated [7]. Recently, the SCENIC international consensus statement on surveillance and management of dysplasia in IBD was reported [8].…”

Section: Discussionmentioning

confidence: 99%

Questionnaire-Based Survey on Management of Ulcerative Colitis-Associated Cancer in East Asian Countries

et al. 2018

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Background/Aims: To elucidate the current management of ulcerative colitis (UC)-associated cancer, a questionnaire-based survey was conducted to gather current opinions on colitis-associated cancer in different East Asian countries. Methods: The questionnaire, based on physicians, contains 9 questions focused on UC management and cancer surveillance. In addition, the questionnaire based on neoplastic cases, which contains 17 questions, was collected and analyzed. Results: With regard to the diagnosis of UC-associated cancer, most respondents started surveillance colonoscopy within 10 years from onset, favored targeted biopsies, and thought advanced imaging was useful. As for morphology, the frequency of elevated lesion and type 4 lesions was most common in early and advanced cancer, respectively. Peritoneal metastasis was frequently observed, and undifferentiated tumor was frequently developed. Laparoscopic surgery was widely used because it is less invasive. The prognostic outcome was poor, particularly in stage III and undifferentiated type. Conclusions: The current survey elucidated the current management in Asian countries and characteristics of colitis-associated cancer in these countries.

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“…35 High-resolution endoscopy and endocytoscopy are emerging areas of interest for endoscopic surveillance, but have yet to show improved detection of neoplasia compared with conventional endoscopy. [37][38][39][40][41][42][43]…”

Section: Colorectal Cancer Screeningmentioning

confidence: 99%

Surgical Management of Dysplasia and Cancer in Inflammatory Bowel Disease

Ansell

Grass

Merchea

2019

Surgical Clinics of North America

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Advanced imaging in colonoscopy: contemporary approach to dysplasia surveillance in inflammatory bowel disease

Cited by 7 publications

References 66 publications

Disseminated Colitic Cancer Identified in Two Patients who had Undergone Surveillance Colonoscopies: A Case Report

Disseminated Colitic Cancer Identified in Two Patients who had Undergone Surveillance Colonoscopies: A Case Report

Questionnaire-Based Survey on Management of Ulcerative Colitis-Associated Cancer in East Asian Countries

Surgical Management of Dysplasia and Cancer in Inflammatory Bowel Disease

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