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Start Over Author "Enrico Morello" Journal clinical management issues
2 results on '"Enrico Morello"'

1. Risk of Colorectal Cancer in Inflammatory Bowel Disease: Prevention and Monitoring Strategies According With Risk Factors

Author

Enrica Giuffrida, Michela Mangia, Alessandro Lavagna, Enrico Morello, Maurizio Cosimato, Rodolfo Rocca, and Marco Daperno

Subjects
inflammatory bowel disease, cancer, surveillance, endoscopic techniques, Medicine (General), R5-920
Abstract

Colorectal cancer (CRC) is slightly increased in inflammatory bowel disease (IBD) patients, with roughly a 2.5-fold increase compared to the general population. Clinical features associated to CRC risks are extent and severity of colonic involvement, disease duration, concomitant primary sclerosing cholangitis (PSC) and/or familial history of CRC in first-degree relatives. Colonic Crohn’s disease (CD) and ulcerative colitis (UC) share similar risks when similar colonic extent is affected. Risk stratification affects outcomes and surveillance programs. Newer endoscopic techniques substantially ameliorated diagnostic performance of endoscopy, and nowadays the standard for CRC surveillance in IBD patients is high-definition endoscopy, with dye-spray or virtual colonoscopy, oriented at targeted (+ random) colonic biopsies. Visible dysplastic lesions should be considered for endoscopic resection, while invisible dysplasia is still a mandatory proctocolectomy indication. Newer endoscopic interventional techniques (endoscopic mucosa resection, EMR, and endoscopic submucosal dissection, ESD) are appropriate therapeutic techniques to be delivered, but long-term risks of cancer should be balanced towards proctocolectomy.

Published
2021
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2. Risk of Colorectal Cancer in Inflammatory Bowel Disease: Prevention and Monitoring Strategies According With Risk Factors

Author

Alessandro Lavagna, Maurizio Cosimato, E. Giuffrida, Marco Daperno, Michela Mangia, Rodolfo Rocca, and Enrico Morello

Subjects
medicine.medical_specialty, Colorectal cancer, medicine.medical_treatment, Population, Inflammatory Bowel Disease, Cancer, Surveillance, Endoscopic Techniques, Medicine (miscellaneous), Inflammatory bowel disease, Gastroenterology, Primary sclerosing cholangitis, inflammatory bowel disease, Internal medicine, medicine, cancer, education, lcsh:R5-920, education.field_of_study, Proctocolectomy, business.industry, endoscopic techniques, medicine.disease, Ulcerative colitis, Oncology, digestive system diseases, Dysplasia, surveillance, Business, Management and Accounting (miscellaneous), lcsh:Medicine (General), business
Abstract

Colorectal cancer (CRC) is slightly increased in inflammatory bowel disease (IBD) patients, with roughly a 2.5-fold increase compared to the general population. Clinical features associated to CRC risks are extent and severity of colonic involvement, disease duration, concomitant primary sclerosing cholangitis (PSC) and/or familial history of CRC in first-degree relatives. Colonic Crohn’s disease (CD) and ulcerative colitis (UC) share similar risks when similar colonic extent is affected. Risk stratification affects outcomes and surveillance programs.Newer endoscopic techniques substantially ameliorated diagnostic performance of endoscopy, and nowadays the standard for CRC surveillance in IBD patients is high-definition endoscopy, with dye-spray or virtual colonoscopy, oriented at targeted (+ random) colonic biopsies.Visible dysplastic lesions should be considered for endoscopic resection, while invisible dysplasia is still a mandatory proctocolectomy indication.Newer endoscopic interventional techniques (endoscopic mucosa resection, EMR, and endoscopic submucosal dissection, ESD) are appropriate therapeutic techniques to be delivered, but long-term risks of cancer should be balanced towards proctocolectomy.

Published
2021

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