彩色内窥镜
医学
炎症性肠病
发育不良
结直肠癌
人口
疾病
内窥镜
内窥镜检查
结肠镜检查
癌症
内科学
几何学
数学
环境卫生
共焦
作者
José María Huguet,Luis Ferrer-Barceló,Patrícia Suárez,Eva Romero Sánchez,Jose David Prieto,Victor Garcia,Javier Sempere
标识
DOI:10.3748/wjg.v28.i5.502
摘要
The detection of dysplasia in patients with inflammatory bowel disease (IBD) continues to be important given the increased risk of colorectal cancer in this population. Therefore, in 2017, we performed a review and update of the recommendations for the management and follow-up of patients with IBD based on the clinical practice guidelines of various scientific societies. The present manuscript focuses on new aspects of the detection, follow-up, and management of dysplasia according to the latest studies and recommendations. While chromoendoscopy with targeted biopsy continues to be the technique of choice for the screening and detection of dysplasia in IBD, the associated difficulties mean that it is now being compared with other techniques (virtual chromoendoscopy), which yield similar results with less technical difficulties. Furthermore, the emergence of new endoscopy techniques that are still being researched but seem promising (e.g., confocal laser endomicroscopy and full-spectrum endoscopy), together with the development of devices that improve endoscopic visualization (e.g., Endocuff Vision), lead us to believe that these approaches can revolutionize the screening and follow-up of dysplasia in patients with IBD. Nevertheless, further studies are warranted to define the optimal follow-up strategy in this patient population.
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