Colorectal cancer screening and surveillance in patients with inflammatory bowel disease in 2021  

作　　者：Jose Maria Huguet Luis Ferrer-Barceló Patrícia Suárez Eva Sanchez Jose David Prieto Victor Garcia Javier Sempere 

机构地区：[1]Department of Digestive Disease,General University Hospital of Valencia,Valencia 46014,Spain

出　　处：《World Journal of Gastroenterology》2022年第5期502-516,共15页世界胃肠病学杂志（英文版）

摘　　要：The detection of dysplasia in patients with inflammatory bowel disease(IBD)continues to be important given the increased risk of colorectal cancer in this population.Therefore,in 2017,we performed a review and update of the recommendations for the management and follow-up of patients with IBD based on the clinical practice guidelines of various scientific societies.The present manuscript focuses on new aspects of the detection,follow-up,and management of dysplasia according to the latest studies and recommendations.While chromoendoscopy with targeted biopsy continues to be the technique of choice for the screening and detection of dysplasia in IBD,the associated difficulties mean that it is now being compared with other techniques(virtual chromoendoscopy),which yield similar results with less technical difficulties.Furthermore,the emergence of new endoscopy techniques that are still being researched but seem promising(e.g.,confocal laser endomicroscopy and full-spectrum endoscopy),together with the development of devices that improve endoscopic visualization(e.g.,Endocuff Vision),lead us to believe that these approaches can revolutionize the screening and follow-up of dysplasia in patients with IBD.Nevertheless,further studies are warranted to define the optimal follow-up strategy in this patient population.

关 键 词：Colitis surveillance Colitis screening CHROMOENDOSCOPY Colorectal cancer Inflammatory bowel disease Ulcerative colitis 

分 类 号：R735.34[医药卫生—肿瘤]