Colon Cancer, Dysplasia, and Surveillance in Patients with Ulcerative Colitis

R. H. Collins, M. Feldman, J. S. Fordtran

Research output: Contribution to journalEditorialpeer-review

269 Scopus citations

Abstract

Most gastroenterologists and current textbooks1 2 3 recommend that patients who have had widespread ulcerative colitis for 7 to 10 years should be entered into a surveillance program designed to detect colonic dysplasia (precancer). This involves frequent colonoscopies with multiple mucosal biopsies. The recommended frequency of colonoscopy is any time from every year to every three years. Although there is no clear rationale for choosing one interval over another, the Medical Knowledge Self-Assessment Profile, a publication of the American College of Physicians, states that patients with long-term extensive ulcerative colitis should have a colonoscopy every year.4 The argument for surveillance in such.

Original languageEnglish (US)
Pages (from-to)1654-1658
Number of pages5
JournalNew England Journal of Medicine
Volume316
Issue number26
DOIs
StatePublished - Jun 25 1987

ASJC Scopus subject areas

  • Medicine(all)

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