Surveillance and Management of Colorectal Neoplasia in Inflammatory Bowel Disease

Monica Eduarda Wilhelmina Derks • Boek • paperback

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  Inflammatory bowel disease (IBD) patients are at increased risk of developing colorectal cancer (CRC) as compared to the general population. Endoscopic surveillance is recommended in order to detect and remove colorectal neoplasia at an early stage. This thesis aimed to improve surveillance, diagnosis, treatment and follow-up of colorectal neoplasia in IBD. Adherence to quality indicators recommended by guidelines is essential for effective surveillance, while an expert pathologist consensus meeting may prevent over- and undertreatment of high-grade dysplasia in IBD. In terms of treatment, partial colectomy could be a feasible alternative for (sub)total or proctocolectomy in selected IBD patients with high-grade dysplasia or CRC. The high risk of colorectal neoplasia after endoscopic resection warrants an intensified endoscopic surveillance after colorectal neoplasia resection in case of residual colon. Finally, the COVID-19 pandemic resulted in a significant decrease in IBD healthcare, with a concerning decline in non-advanced colorectal neoplasia, while the impact on morbidity and mortality have not yet been studied.
  
• Productinformatie
  Binding : Paperback
  Distributievorm : Boek (print, druk)
  Formaat : 170mm x 240mm
  Aantal pagina's : 189
  Uitgeverij : Radboud University Press
  ISBN : 9789465150369
  Datum publicatie : 03-2025
  
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