Surveillance and Management of Dysplasia in Inflammatory Bowel Disease
Recommendations
Detection of dysplasia on surveillance colonoscopy
1. When performing surveillance with white-light colonoscopy, high definition is recommended rather than standard definition.
(Low, Strong)2. When performing surveillance with standard-definition colonoscopy, chromoendoscopy is recommended rather than white-light colonoscopy.
(Moderate, Strong)3. When performing surveillance with high-definition colonoscopy, chromoendoscopy is suggested rather than white-light colonoscopy.
( Conditional , Low )4. When performing surveillance with standard-definition colonoscopy, narrow-band imaging is not suggested in place of white-light colonoscopy.
( Conditional , Low )5. When performing surveillance with high-definition colonoscopy, narrow-band imaging is not suggested in place of white-light colonoscopy.
( Conditional , Moderate )6. When performing surveillance with image-enhanced high-definition colonoscopy, narrow-band imaging is not suggested in place of chromoendoscopy.
( Conditional , Moderate )Management of dysplasia discovered on surveillance colonoscopy
7. After complete removal of endoscopically resectable polypoid dysplastic lesions, surveillance colonoscopy is recommended rather than colectomy.
( Strong , Very Low )8. After complete removal of endoscopically resectable nonpolypoid dysplastic lesions, surveillance colonoscopy is suggested rather than colectomy.
( Conditional , Very Low )9. For patients with endoscopically invisible dysplasia (confirmed by a GI pathologist) referral is suggested to an endoscopist with expertise in IBD surveillance using chromoendoscopy with high-definition colonoscopy.
( Conditional , Very Low )Recommendation Grading
Overview
Title
Surveillance and Management of Dysplasia in Inflammatory Bowel Disease
Authoring Organization
American Society for Gastrointestinal Endoscopy
Publication Month/Year
March 1, 2015
Last Updated Month/Year
January 10, 2024
Document Type
Consensus
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adult, Older adult
Health Care Settings
Ambulatory, Hospital, Outpatient
Intended Users
Radiology technologist, nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Diagnosis, Management
Diseases/Conditions (MeSH)
D015212 - Inflammatory Bowel Diseases
Keywords
inflammatory bowel disease, Crohn's disease, IBS, dysplasia
Source Citation
Laine, L., Kaltenbach, T., Barkun, A., McQuaid, K. R., Subramanian, V., Soetikno, R., … Yang, Y.-X. (2015). SCENIC international consensus statement on surveillance and management of dysplasia in inflammatory bowel disease. Gastrointestinal Endoscopy, 81(3), 489–501.e26. doi:10.1016/j.gie.2014.12.009