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Surveillance and management of dysplasia in patients with inflammatory bowel disease

Authors
Amandeep Shergill, MD, MS
Robert D Odze, MD, FRCPC
Francis A Farraye, MD, MSc
Section Editor
Paul Rutgeerts, MD, PhD, FRCP
Deputy Editor
Kristen M Robson, MD, MBA, FACG

INTRODUCTION

Because the risk for colorectal cancer (CRC) is increased in patients with inflammatory bowel disease (IBD), the goal of surveillance colonoscopy is to detect dysplasia, the precursor of colorectal cancer [1]. We recommend surveillance for dysplasia and colorectal cancer in patients with IBD and our recommendations are generally consistent with multiple societies worldwide [1-10].

The epidemiology, risk factors, and pathology of colon cancer in IBD and the evidence supporting a role for cancer surveillance will be reviewed here. Methods for cancer surveillance will also be discussed. The definition, risk factors, clinical manifestations, diagnosis, and management of IBD are discussed separately.

(See "Definition, epidemiology, and risk factors in inflammatory bowel disease".)

(See "Clinical manifestations, diagnosis, and prognosis of ulcerative colitis in adults".)

(See "Clinical manifestations, diagnosis and prognosis of Crohn disease in adults".)

                                   
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Literature review current through: Sep 2017. | This topic last updated: Oct 19, 2017.
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