Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3290384 | Gastroentérologie Clinique et Biologique | 2009 | 5 Pages |
Abstract
The risk of colorectal cancer in case of IBD-related pancolitis reaches 2% after 10Â years follow-up, 8% after 20Â years up to 18% at 30Â years, and was probably over-estimated in the first series. Chromoendoscopy appears to be helpful in the surveillance of IBD, and moreover recommended, using carmine indigo or methylene blue with a well-standardized procedure. Its place regarding other techniques like virtual coloration has to be clarified with randomized studies. The chromoendoscopy allows the operator to perform targeted biopsies, which appear to be more efficient for the detection of dysplasia than systematic biopsies performed every 10Â cm. Nevertheless, it is too soon to remove systematic biopsies from scientific recommendations.
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Authors
M. Barthet, A. Desjeux, J.-C. Grimaud, SFED SFED,