General

Surveillance colonosocpy for patient with Ulcerative Colitis

Created by:

 
5 Sep 2016 - General
 

Patient with ulcerative colitis are at an increased risk of colorectal cancer. Hence, interval surveillance colonoscopy is required in this cohort of patient. For patient with left sided colitis, the surveillance should begin after 15 years from the onset of disease. For patient with pan-colitis (affecting the whole colon), surveillance colonoscpy should start around 8 years after the diagnosis. There are some newer techniques like chromoendoscopy and narrow band imaging which will allow the endosocpist to have better visualization of the abnormal colonic mucosa, allowing for targeted colonic biopsies for the suspicious looking colonic mucosa. In the cohort of patient who has both ulcerative colitis and primary sclerosing cholangitis, surveillance colonoscopy should be done annually, due to high risk of colonic dysplasia in this cohort of patient.

You Yi Hong Oh thank you for the explanation. I have similar experience. We had a patient who was transferred from a peripheral hospital who was suspected to be having inflammatory bowel disease. The child was sent to us to undergo a lower GI endoscopy to exclude inflammatory bowel disease or any other similar pathology. The child was having active disease at that time, with severe abdominal pain and blood staine...
 (Total 117 words)
Surveillance colonoscopy is very important in patients with long standing ulcerative colitis, due to the increased risk of developing bowel cancer. The aim of surveillance colonoscopy is to detect pre-cancer lesion or early cancer, which can markedly improve the prognosis. The risk of perforation with colonoscopy in patient in clinical remission is not as high as patient with having acute flare of colitis. The risk of perforation is high in patients with acute flare of colitis, and hence we shou...
 (Total 120 words)
Colonoscopy is important to detect lower gastrointestinal tract malignancies in patients who are at a higher risk for gastrointestinal neoplasms. Diseases like ulcerative colitis, inflammatory bowel disease, hereditary poliposis predispose patients to bowel cancer so frequent screening with Colonoscopy is very useful for early detection of cancer, because the earlier the cancer is detected, the better the prognosis, and we are able to provide the patient with curative treatment. But in condition...
 (Total 101 words)