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A low-cost method for chromoendoscopy for surveillance in ulcerative colitis

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Abstract

The risk of colorectal cancer in Indian patients with long-standing ulcerative colitis is high and similar to that in the West. Surveillance for dysplasia in these patients is therefore important. Recent studies and guidelines suggest an increasing role for chromoendoscopy-guided biopsy in surveillance for dysplasia. We report our experience with the technique of chromoendoscopy and an economical method of performing it. Reconstituting indigo carmine from a powder form rather than the dyes available commercially is a better economical alternative and should help make chromoendoscopy the standard of care for dysplasia surveillance across the country.

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References

  1. Venkataraman S, Mohan V, Ramakrishna BS, et al. Risk of colorectal cancer in ulcerative colitis in India. J Gastroenterol Hepatol. 2005;20:705–9.

    Article  PubMed  Google Scholar 

  2. Kochhar R, Goenka MK, Kaushik SP, Gupta NM, Nagi B, Mehta SK. Colorectal carcinoma in Indian patients with idiopathic ulcerative colitis. Eur J Cancer Prev. 1992;1:293–6.

    Article  CAS  PubMed  Google Scholar 

  3. Desai D, Shah S, Deshmukh A, et al. Colorectal cancers in ulcerative colitis from a low-prevalence area for colon cancer. World J Gastroenterol. 2015;21:3644–9.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Bopanna S, Das P, Datttagupta S, et al. Long term follow up reveals high incidence of colorectal cancer in Indian patients with inflammatory bowel disease. United European Gastroenterol J. 2016;4. (in press).

  5. Cairns SR, Scholefield JH, Steele RJ, et al. Guidelines for colorectal cancer screening and surveillance in moderate and high risk groups (update from 2002). Gut. 2010;59:666–89.

    Article  PubMed  Google Scholar 

  6. Van Assche G, Dignass A, Bokemeyer B, et al. Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 3: special situations. J Crohns Colitis. 2013;7:1–33.

    Article  PubMed  Google Scholar 

  7. Laine L, Kaltenbach T, Barkun A, et al. SCENIC Guideline Development Panel. SCENIC international consensus statement on surveillance and management of dysplasia in inflammatory bowel disease. Gastrointest Endosc. 2015;81:489–501.

    Article  PubMed  Google Scholar 

  8. Ahuja V, Tandon RK. Inflammatory bowel disease: the Indian augury. Indian J Gastroenterol. 2012;31:294–6.

    Article  PubMed  Google Scholar 

  9. Ramakrishna BS, Makharia GK, Abraham P, Indian Society of Gastroenterology Task Force on Inflammatory Bowel Diseases, et al. Indian Society of Gastroenterology consensus on ulcerative colitis. Indian J Gastroenterol. 2012;31:307–23.

    Article  PubMed  Google Scholar 

  10. Walmsley RS, Ayres RC, Pounder RE, et al. A simple clinical colitis activity index. Gut. 1998;43:29–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Schlemper RJ, Riddell RH, Kato Y, et al. The Vienna classification of gastrointestinal epithelial neoplasia. Gut. 2000;47:251–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, 110 029, India

    Sawan Bopanna, Saurabh Kedia & Vineet Ahuja

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  1. Sawan Bopanna
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  2. Saurabh Kedia
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  3. Vineet Ahuja
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Correspondence to Vineet Ahuja.

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Bopanna, S., Kedia, S. & Ahuja, V. A low-cost method for chromoendoscopy for surveillance in ulcerative colitis. Indian J Gastroenterol 35, 482–485 (2016). https://doi.org/10.1007/s12664-016-0711-7

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  • DOI: https://doi.org/10.1007/s12664-016-0711-7

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