Endoscopy 2005; 37(6): 597-599
DOI: 10.1055/s-2005-861421
SFED-Guideline
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Surveillance of Chronic Inflammatory Bowel Disease

M.  Barthet (Marseille), in collaboration with:, G.  Gay (Nancy), D.  Sautereau (Limoges), T.  Ponchon (Lyon), B.  Napoleo (Lyon), J.  Boyer (Angers), J.  M.  Canard (Paris), P.  Dalbies (Béziers), J.  Escourrou (Toulouse), M.  Greff (Nice), J.  Lapuelle (Toulouse), J.  C.  Letard (Poitiers), B.  Marchetti (Marseille), L.  Palazzo (Paris), J.  F.  Rey (St Laurent du Var)
Further Information

Publication History

Publication Date:
03 June 2005 (online)

Inflammatory bowel disease, ulcerative rectocolitis and Crohn’s disease are a major public health problem. The incidence of ulcerative rectocolitis (UC), which has remained stable since the early eighties, is around 10 per 100 000 inhabitants [1]. Crohn’s disease (CD) appears to be on the increase, with a global incidence of 5.6 / 100 000 [1]. These diseases are associated with a risk of digestive cancer, which justifies regular endoscopic surveillance. Unfortunately, there is no properly-defined code for such surveillance, which is performed on an empirical basis.

References<!?show $^DOIziffer>

  • 1 Shivananda S, Lennard-Jones J, Logan R. et al . Incidence of inflammatory bowel disease across Europe: is there a difference between north and South? Results of the European collaborative study on inflammatory bowel disease.  Gut. 1996;  39 690-697
  • 2 Eaden J A, Mayberry J F. Colorectal cancer complicating ulcerative colitis: a review.  Am J Gastroenterol. 2000;  95 2710-2719
  • 3 Eaden J A, Abrams K, Mayberry J F. The true risk of colorectal cancer in ulcerative colitis: A meta-analysis.  Gut. 1999;  44 (suppl l) T163(abstract)
  • 4 Provenzale D, Kowdley K V, Arora S. et al . Prophylactic colectomy or surveillance for chronic ulcerative colitis? A decision analysis.  Gastroenterology. 1995;  109 1188-1196
  • 5 Bansal P, Sonnenberg A. Risk factors of colorectal cancer in inflammatory bowel disease.  Am J Gastroenterol. 1996;  91 44-48
  • 6 Bernstein C N, Blanchard J F, Kliewer E, Wadja A. Cancer risk in patients with inflammatory bowel disease.  Cancer. 2001;  91 854-862
  • 7 Friedman S, Rubin P H, Bodian C, Harpaz N, Present D. Screening and surveillance colonoscopy in chronic Crohn’s colitis.  Gastroenterology. 2001;  120 820-826
  • 8 Farrell R J, Ang Y, Kileen P, O’Briain D SO, Kelleher D, Keeling P W. et al . Increased incidence of non-Hodgkin’s lymphoma in inflammatory bowel disease patients on immunosuppressive therapy but overall risk is low.  Gut. 2000;  47 514-519
  • 9 Connell W R, Talbot I C, Harpaz N. et al . Clinicopathological characteristics of colorectal carcinoma complicating ulcerative colitis.  Gut. 1994;  35 1419-1423
  • 10 Odze R D. Adenomas and adenoma-like DALMs in chronic ulcerative colitis: a clinical, pathological and molecular review.  Am J Gastroenterol. 1999;  94 1746-1750
  • 11 Kiesslich R, Fritsch J, Holtmann M, Koehler H H, Stolte M, Kanzler S. et al . Methylene blue-aided chromoendoscopy for the detection of intraepithelial neoplasia and colon cancer in ulcerative colitis.  Gastroenterology. 2003;  124 880-888
  • 12 Matsumoto T, Nakamura S, Jo Y, Yao T, Iida M. Chromoscopy might improve diagnostic accuracy in cancer surveillance for ulcerative colitis.  Am J Gastroenterol. 2003;  98 1827-1833
  • 13 Connell W R, Lennard-Jones J E, Williams C B. et al . Factors affecting the outcome of endoscopic surveillance for cancer in ulcerative colitis.  Gastroenterology. 1994;  107 934-944
  • 14 Choi P M, Nugent F W, Schoetz D J. et al . Colonoscopic surveillance reduces mortality from colorectal cancer in ulcerative colitis.  Gastroenterology. 1993;  105 418-424
  • 15 Engelsgjerd M, Farraye F A, Odze R D. Polypectomy may be adequate treatment for adenoma-like dysplastic lesions in chronic ulcerative colitis.  Gastroenterology. 1999;  117 1288-1294
  • 16 Delco F, Sonnenberg A. A decision analysis of surveillance for colorectal cancer in ulcerative colitis.  Gut. 2000;  46 500-506
  • 17 Provenzale D, Wong J, Onken J E, Lipscomb J. Performing a cost-effectiveness analysis: surveillance of patients with ulceratuve colitis. L.  Am J Gastroenterol. 1998;  93 872-880

Marc Barthet

Department of Gastroenterology · Hôpital Nord, Chemin des Bourrely ·

13915 Marseille cedex 20

Phone: 04 91 96 87 37

Fax: 04 91 96 13 11

Email: mbarthet@mail.ap-hm.fr

    >