Inflammatory Bowel Disease, Colorectal Cancer
Conditions
Keywords
Chromoendoscopy, Ulcerative Colitis, Crohn disease, Colorectal Neoplasia
Brief summary
To assess the feasibility and effectiveness of a program in L-IBD patients using CE targeted biopsies
Detailed description
We aim to know the prevalence and incidence of dysplasia and colitis-associated colorectal cancer in patients with longstanding colonic inflammatory bowel disease (N-IBD), in Spain and the usefulness of advanced endoscopy (chromoendoscopy) for the diagnosis and endoscopic differential diagnosis of N-IBD.
Interventions
Chromoendoscopy involves the topical application of stains to improve tissue localization and characterization of lessions during endoscopy . Chromoendoscopy has been used in patients undergoing colonoscopy, including those undergoing surveillance for chronic ulcerative colitis. Using pit pattern classifications, chromoendoscopy has a high sensitivity and specificity for differentiating neoplastic from non-neoplastic lesions
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of UC or colitis EC corroborated by clinical and histology * involvement of at least one third of the colon in patients with CD * involvement proximal to the rectum in patients with UC * Duration of disease \> 10 years * No clinical activity: * May Score \<6 * CDEIS \<3.5
Exclusion criteria
* Personal history of CRC * colectomy * coagulopathy * refusal to participate in the study * known allergy to indigo carmine * colonoscopy in the last 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence and incidence of dysplasia and colitis-associated colorectal cancer in patients with longstanding colonic inflammatory bowel disease (N-IBD), in Spain | two year | see title |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Usefulness of advanced endoscopy in displasia characterization (chromoendoscopy ) for the diagnosis and endoscopic differential diagnosis of NIBD. | two year | see title |
Countries
Spain