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Is Surveillance Endoscopy Necessary after Colectomy in Ulcerative Colitis?

Authors :
Kazushige Kawai
Tetsu Kojima
Keisuke Hata
Masaru Shinozaki
Giichiro Tsurita
Hirokazu Nagawa
Eiji Sunami
Masaya Hiyoshi
Yasutaka Shuno
Joji Kitayama
Nelson H. Tsuno
Source :
ISRN Gastroenterology
Publication Year :
2011
Publisher :
International Scholarly Research Network, 2011.

Abstract

The role of surveillance endoscopic followup in colectomized patients with long standing total colitis is controversial. Here, we aimed to clarify its usefulness for the early detection of dysplasia and cancer in this group of patients. Ninety-seven colectomised UC patients followedup by surveillance endoscopy were retrospectively investigated by reviewing the pathological reports. Patients had received either subtotal colectomy and ileo-rectal anastomosis (IRA) or total proctocolectomy and ileal anal anastomosis (IPAA). Definite dysplasia was diagnosed in 4 patients, who had received IRA; among them, 2 were carcinoma with submucosal invasion, and one was a high-grade dysplasia. Postoperative surveillance endoscopy is useful for the detection of early cancer in the remaining colonic mucosa of UC patients, and those receiving IRA, in which rectal mucosa is left intact, would be good candidates. However, its effectiveness for patients receiving IPAA, in which the rectal mucosa is resected, needs further investigation.

Details

Language :
English
ISSN :
20904401 and 20904398
Volume :
2011
Database :
OpenAIRE
Journal :
ISRN Gastroenterology
Accession number :
edsair.doi.dedup.....01530d648c88b512e075d538ed69e825