| Theme | Surveillance after Treatment for Colorectal Tumors | |
|---|---|---|
| Title | The Optimization of Surveillance Endoscopy after (Sub)total Colectomy or Endoscopic Resection in Patients with Ulcerative Colitis | |
| Publish Date | 2018/07 | |
| Author | Kenji Watanabe | Department of Intestinal Inflammation Research, Hyogo College of Medicine |
| Author | Masakazu Nishishita | Nishishita Gastrointestinal Hospital |
| Author | Yoko Yokoyama | Division of Internal Medicine, Department of Inflammatory Bowel Disease, Hyogo College of Medicine |
| Author | Takako Miyazaki | Division of Internal Medicine, Department of Inflammatory Bowel Disease, Hyogo College of Medicine |
| Author | Nobuyuki Hida | Division of Internal Medicine, Department of Inflammatory Bowel Disease, Hyogo College of Medicine |
| Author | Shiro Nakamura | Division of Internal Medicine, Department of Inflammatory Bowel Disease, Hyogo College of Medicine |
| [ Summary ] | Appropriate surveillance endoscopy for the rectum should be performed based on the understanding of each procedure for anastomosis with (sub) total colectomy in ulcerative colitis (UC) patients with a complication of colitis associated cancer or dysplasia (CC/D). The remaining rectum is at a high risk of developing CC/D after an ileorectal anastomosis surgery. The exact indication for an endoscopic resection of CC/D is essential for clinical practice. The colon also is at a high-risk of developing CC/D after an endoscopic resection for low grade dysplasia. Therefore, highly accurate surveillance colonoscopy should be performed in those patients with UC. | |