The doctor pointed out that pan colitis and the current endoscopy or pathology have moderate to severe inflammation, cell degeneration or stricture within 5 years (with or without surgery), primary sclerosing cholangitis (PSC), first-degree relatives under 50 years old Family history of colorectal cancer is a high-risk person, and a colonoscopy is required once a year; the picture shows the situation. (picture taken from freepik)
[Health Channel/Comprehensive Report]Inflammatory bowel disease (IBD) includes two types of chronic intestinal inflammatory diseases, ulcerative colitis and Crohn’s disease, because there is currently no cure method and drug, Li Baixian, associate professor of Gastroenterology and Hepatobiliary Department of Linkou Changgeng, according to the European clone The Society of Disease and Enteritis Medicine, and the British Society of Gastroenterology recommend that high-risk patients should undergo colonoscopy screening and follow-up once a year.
Li Baixian posted on his Facebook page “Dr.Le Lee Baek Hyun“The article stated that due to the vigorous development of biological agents and small molecule drugs, fewer and fewer patients with inflammatory bowel disease need surgery, and the proportion of surgery has dropped sharply due to poor inflammation control. The rate of surgery is increasing year by year, and this kind of bowel cancer caused by chronic enteritis is faster and more likely to metastasize than general colorectal cancer. This is a part that IBD patients must not ignore when tracking.
Low risk: colonoscopy follow-up every 5 years
Pancolitis (inflammation of only the rectum and the entire large bowel mucosa on the left and right sides) but currently no inflammation on endoscopy or pathology, left ulcerative colitis, or Crohn’s disease of similar extent (involving less than half of the mucosa infringement).
Moderate risk: colonoscopy every 3 years
Total colitis with mild inflammation in endoscopy or pathology, post-inflammation pseudopolyps (for fear of hidden early cancer and difficult screening), first-degree relatives over 50 years old have a family history of colorectal cancer.
High risk: once a year
Pancolitis and current endoscopy or pathology have moderate to severe inflammation, cell degeneration or stricture within 5 years (with or without surgery), primary sclerosing cholangitis (PSC), first-degree relatives under 50 years old have colorectal cancer family history.
Li Baixian reminded that the longer the inflammation lasts, the more likely it is to make mistakes in the repair and become bowel cancer. Actively controlling inflammation is the key factor to avoid bowel cancer, so the doctor should consider doing a colonoscopy when it is evaluated, and even remember to remind the doctor to do it Colonoscopy.
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