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Improving the quality of surveillance colonoscopy in inflammatory bowel disease

Authors :
Bo Shen
Gursimran Kochhar
Rosanna Cannatelli
Takayuki Matsumoto
Subrata Ghosh
Gian Eugenio Tontini
Gionata Fiorino
Ralf Kiesslich
Remo Panaccione
Silvio Danese
Marietta Iacucci
Iacucci, M
Cannatelli, R
Tontini, Ge
Panaccione, R
Danese, S
Fiorino, G
Matsumoto, T
Kochhar, G
Shen, B
Kiesslich, R
Ghosh, S
Source :
The Lancet Gastroenterology & Hepatology. 4:971-983
Publication Year :
2019
Publisher :
Elsevier BV, 2019.

Abstract

Several recommendations have addressed the topic of improving the quality of surveillance colonoscopy in inflammatory bowel disease. However, there is variation between these recommendations, in part due to the absence of well-defined quality indicators, suggesting that these quality indicators should be studied and developed. We did a systematic review of evidence related to surveillance colonoscopy in inflammatory bowel disease to look at the different variables in this practice and offer a critique of the quality control measures before, during, and after the procedure. We identified several key quality measures that could be adopted in clinical practice, including control of inflammation, optimal bowel preparation, ideal time allocation, training, sedation, detection and characterisation of lesions, therapeutic management of the lesions, and colonoscopic reports. However, further primary research and consensus reports are needed to continue developing roadmaps at a global level.

Details

ISSN :
24681253
Volume :
4
Database :
OpenAIRE
Journal :
The Lancet Gastroenterology & Hepatology
Accession number :
edsair.doi.dedup.....306da8287c311526a4e153c40878d5e5
Full Text :
https://doi.org/10.1016/s2468-1253(19)30194-3