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. 2023 Aug 17;15(16):4154. doi: 10.3390/cancers15164154

Table 1.

Recommended surveillance strategies based on risk stratification in patients with IBD.

Patients High Risk Intermediate Risk Low Risk
Risk factors Moderate or severe inflammation
PSC
Family history of CRC in FDRs aged < 50 years
Dense pseudopolyposis
<5-year history of invisible dysplasia or high-risk visible dysplasia
Mild inflammation
Family history of CRC but no FDRs aged <50 years
Previous episode of severe colitis
<5-year history of invisible dysplasia or high-risk visible dysplasia
<5-year history of low-risk visible dysplasia
Maintaining disease remission with mucosal healing plus either of
≥2 consecutive examinations without dysplasia
Minimal colitis (ulcerative proctitis or <1/3 of the colon in CD)
Surveillance interval 1 year 2 or 3 years 5 years

CD, Crohn’s disease; CRC, colorectal cancer; FDR, first-degree relative; PSC, primary sclerosing cholangitis.