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 |
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. |