Surveillance programmes for colorectal cancer in inflammatory bowel disease: have we got it right?

Bernstein, Charles N.
September 2008
Gut;Sep2008, Vol. 57 Issue 9, p1194
Academic Journal
The article highlights the results of a study which systematically attempted to discern how often cancers are missed if the starting points given in current surveillance guidelines are adhered to. In the British guidelines, it has been suggested that surveillance colonoscopy should be initiated at eight years in extensive colitis and 15 years in left-sided colitis.


Related Articles

  • Colonoscopic surveillance improves survival after colorectal cancer diagnosis in inflammatory bowel disease. Lutgens, M. W. M. D.; Oldenburg, B.; Siersema, P. D.; van Bodegraven, A. A.; Dijkstra, G.; Hommes, D. W.; de Jong, D. J.; Stokkers, P. C. F.; van der Woude, C. J.; Vleggaar, F. P. // British Journal of Cancer;11/17/2009, Vol. 101 Issue 10, p1671 

    Background:Colonoscopic surveillance provides the best practical means for preventing colorectal cancer (CRC) in inflammatory bowel disease (IBD) patients. Strong evidence for improved survival from surveillance programmes is sparse.Method:The aim of this study was to compare tumour stage and...

  • The Valuable Role of Endoscopy in Inflammatory Bowel Disease. Hamilton, Matthew J. // Diagnostic & Therapeutic Endoscopy;2012, p1 

    Endoscopy is a valuable clinical tool for the clinician who takes care of patients with inflammatory bowel disease (IBD). The role of endoscopy in the diagnosis, management, and treatment of IBD is discussed in this review. The central role that colonoscopy plays in screening for colon cancer in...

  • New screening guidelines to reduce colorectal cancer death rates. Sibal, Meg // Filipino Reporter;5/25/2012, Vol. 40 Issue 25, p25 

    The author discusses a research study on the reduction of colorectal cancer death in polypectomy patients during colonoscopy that was published in the "New England Journal of Medicine" which analyzed 2,602 adenoma patients with benign tissue growths in the colon. She agrees that study findings...

  • Colonoscopic evaluation of minimal rectal bleeding in average-risk patients for colorectal cancer. Nikpour, Shahriar; Asgari, Ali Ali // World Journal of Gastroenterology;11/14/2008, Vol. 14 Issue 42, p6536 

    AIM: To assess the prevalence of clinically significant lesions in patients with minimal bright red bleeding per rectum (BRBPR). METHODS: Consecutive outpatients prospectively underwent colonoscopy at Loghman Hakim Hospital, Tehran. Minimal BRBPR was defined as small amounts of red blood after...

  • Endoscopist Can Be More Powerful than Age and Male Gender in Predicting Adenoma Detection at Colonoscopy. Chen, Shawn C.; Rex, Douglas K. // American Journal of Gastroenterology;Apr2007, Vol. 102 Issue 4, p856 

    BACKGROUND AND AIMS: Both advancing age and male gender are known predictors of adenomas and large adenomas at colonoscopy. However, the importance of endoscopist compared with both age and gender as predictors of adenomas is not known. In this study, we assessed the adenoma detection rates of...

  • Colorectal cancer surveillance in inflammatory bowel disease: The search continues. Ahmadi, Anis; Polyak, Steven; Draganov, Peter V.; Long, Rupert // World Journal of Gastroenterology;1/7/2009, Vol. 15 Issue 1, p61 

    Patients with inflammatory bowel disease (IBD) are at increased risk for colorectal cancer (CRC). Risk factors for the development of CRC in the setting of IBD include disease duration, anatomic extent of disease, age at time of diagnosis, severity of inflammation, family history of colon...

  • Surveillance colonoscopy in patients with inflammatory bowel disease: comparison of random biopsy vs. targeted biopsy protocols. Günther, Ute; Kusch, Dajana; Heller, Frank; Bürgel, Nataly; Leonhardt, Silke; Daum, Severin; Siegmund, Britta; Loddenkemper, Christoph; Grünbaum, Maria; Buhr, Heinz-Johannes; Schulzke, Jörg-Dieter; Zeitz, Martin; Bojarski, Christian // International Journal of Colorectal Disease;May2011, Vol. 26 Issue 5, p667 

    Background: Endoscopic surveillance in patients with long-standing inflammatory bowel disease (IBD) improves early detection of intraepithelial neoplasia (IEN). We aimed to compare three different endoscopic surveillance strategies in the detection of IEN. Methods: One hundred fifty surveillance...

  • Colorectal Cancer in IBD Patients. Stormont, James M; Shah, Ashok N; Sharma, Anil K; Saubermann, Lawrence J; Farmer, Richard G // American Journal of Gastroenterology;Sep2013, Vol. 108 Issue 9, p1535 

    A letter to the editor is presented in response to the article regarding colorectal cancer (CRC) in patients with inflammatory bowel disease (IBD).

  • Surveillance for CRC in Patients With IBD. Nichols, Emma Hitt; Kaltenbach, Tonya // MD Conference Express;Jul2015, Vol. 15 Issue 14, p21 

    Patients with inflammatory bowel disease are at an increased risk of developing colorectal cancer. These patients should undergo surveillance colonoscopy for detection of dysplasia or adenoma. Studies have demonstrated that chromoendoscopy is the most effective technique for detection of...


Read the Article


Sign out of this library

Other Topics