| Patients with long-standing inflammatory bowel disease (IBD) colitis are at higher risk of developing colorectal cancer than the general population. Surveillance colonoscopy is recommended to detect dysplasia and neoplasia. A number of new development in the detection and the management of dysplasia has been recently described. The SCENIC (Surveillance for Colorectal Endoscopic Neoplasia Detection and Management in Inflammatory Bowel Disease: International Consensus Recommendations), published in 2015, provide a unifying recommendation for the current detection and management of dysplasia in IBD. The new surveillance utilizes high-quality visual inspection of the mucosa using indigo carmine image enhanced endoscopy. Lesions are described using a new classification. Targeted biopsies are performed on suspicious lesions. The new guidelines also provide information of lesions that can be managed using endoscopic resection. |
