Neoplasia Yield and Colonoscopic Workload of Surveillance Regimes for Colorectal Cancer in Colitis Patients

Mooiweer, Erik; Jong, Andrea E. van der Meulen–de; Bodegraven, Adriaan A. van; Jansen, Jeroen M.; Mahmmod, Nofel; Nijsten, Joyce; Oijen, Martijn G.H. van; Siersema, Peter D.; Oldenburg, Bas

doi:10.1097/mib.0b013e3182a74b27

Cited by 16 publications

(8 citation statements)

References 21 publications

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“…A majority of patients had UC (78%) and extensive disease (83.1%). The vast majority (70.3%) presented with at least one high-risk feature for IBD-associated dysplasia23 (ie, primary sclerosing cholangitis, first-degree family history of CRC <50 years old and/or extensive colitis with previous severe activity). Nineteen (5.4%) patients had a personal history of dysplasia.…”

Section: Resultsmentioning

confidence: 99%

Real-life chromoendoscopy for neoplasia detection and characterisation in long-standing IBD

Carballal

Maisterra

López-Serrano

et al. 2016

Gut

119

114

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Objective Outside clinical trials, the effectiveness of chromoendoscopy (CE) for long-standing IBD surveillance is controversial. We aimed to assess the effectiveness of CE for neoplasia detection and characterisation, in real-life. Design From June 2012 to 2014, patients with IBD were prospectively included in a multicentre cohort study. Each colonic segment was evaluated with white light followed by 0.4% indigo carmine CE. Specific lesions' features were recorded. Optical diagnosis was assessed. Dysplasia detection rate between expert and non-expert endoscopists and learning curve were ascertained.

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Section: Resultsmentioning

confidence: 99%

Real-life chromoendoscopy for neoplasia detection and characterisation in long-standing IBD

Carballal

Maisterra

López-Serrano

et al. 2016

Gut

119

114

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“…Considering neoplasia surveillance colonoscopies alone for an average 40-year-old patient in the low-risk category, at least six colonoscopies are expected during the patient's lifespan. 12,13 Suboptimal bowel preparation is a leading cause of missed lesions, repeat procedures, and increased overall procedure-related costs. 14 Thus, adequate bowel preparation is one of the main quality indicators for colonoscopy, as recommended by the current guidelines.…”

Section: Discussionmentioning

confidence: 99%

Quality of colonoscopy preparation in patients with inflammatory bowel disease: retrospective analysis of 348 colonoscopies

et al. 2020

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Objective: Our aim was to prospectively assess bowel preparation in patients with inflammatory bowel disease (IBD) and to determine the impact of disease-related factors on preparation efficacy because few studies have addressed this issue. Methods: We conducted a retrospective analysis of data collected from a cohort of patients with IBD enrolled at a tertiary center in Bucharest, Romania. Patients were evaluated every 12 months, with each study visit including collection of clinical, biological, and endoscopic data. We reviewed 348 colonoscopies from 169 consecutive patients prospectively followed for a median length of 2 (0-6) years. Results: The median total Boston score and median score per bowel segment in our cohort were optimal at 6 (range 0-9) and 2 (maximum 3), respectively. There was no difference in bowel preparation between patients with endoscopic activity and patients with mucosal healing (median total Boston score 6). Disease-and patient-related parameters did not influence the quality of bowel preparation. Conclusions: The quality of bowel preparation in patients with IBD was optimal for our cohort, and disease-related parameters did not significantly influence preparation efficacy.

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“…Guidelines for endoscopic surveillance in IBD vary by governing body with the American Gastrointestinal Association recommending annual or biannual surveillance depending on coexisting PSC and the British Society of Gastroenterology recommending surveillance every 1, 3, or 5 years for those with high, medium, or low risk, respectively. 22, 28 However, such consensus guidelines do not exist for diverted bowel segments. Based on retrospective case-control data, Lutgens et al 13 recommended that surveillance proctoscopies be conducted every 1–2 years in IBD patients with a closed rectal stump, PSC, and a disease duration of greater than 8 years.…”

Section: Discussionmentioning

confidence: 99%

Low Incidence of Dysplasia and Colorectal Cancer Observed among Inflammatory Bowel Disease Patients with Prolonged Colonic Diversion

Bettner

Rizzo

Brant

et al. 2018

Inflammatory Bowel Diseases

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Neoplasia Yield and Colonoscopic Workload of Surveillance Regimes for Colorectal Cancer in Colitis Patients

Abstract: Although the BSG surveillance intervals offer the advantage of a lower colonoscopic workload, the risk stratification of the AGA seems superior in distinguishing patients at higher risk of CAN.

Cited by 16 publications

References 21 publications

Real-life chromoendoscopy for neoplasia detection and characterisation in long-standing IBD

Real-life chromoendoscopy for neoplasia detection and characterisation in long-standing IBD

Quality of colonoscopy preparation in patients with inflammatory bowel disease: retrospective analysis of 348 colonoscopies

Low Incidence of Dysplasia and Colorectal Cancer Observed among Inflammatory Bowel Disease Patients with Prolonged Colonic Diversion

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