Curbside Consultation in IBD: 49 Clinical Questions, Second Edition

David T Rubin, MD; Sonia Friedman, MD; Francis A Farraye, MD MSc

Question 38: Should I Use Chromoendoscopy In My Surveillance Colonoscopy In Inflammatory Bowel Disease? How And Which Agent? Would Narrow-Band Imaging Be An Alternative For This? (continued)

David T. Rubin, MD; Jami A. Kinnucan, MD

Current guidelines for cancer prevention in ulcerative colitis (UC) and Crohn’s disease (CD) involve screening and surveillance colonoscopy to detect precancerous dysplasia. The detection of precancerous dysplasia is necessary to stratify patients for follow-up and proctocolectomy. Accurate diagnosis of dysplasia in UC requires a number of critical steps, including assessment of patients at risk and adequate identification during colonoscopy. Traditionally, it was believed that, unlike sporadic colorectal cancer derived from raised polypoid lesions in non-inflammatory bowel disease…