Table 2.
Surveillance intervals and strategies
High Risk (Annually) | Intermediate Risk (every 3 years) | Low Risk (every 5 years) | |
---|---|---|---|
Risk Stratified Intervals | |||
NICE, ECCO, and BSG(85–87) | Pancolitis with moderate-severe inflammation; strictures or dysplasia within past 5 years (± surgery), PSC, or family history of CRC in first degree relative > 50 years | Pancolitis with active inflammation (endoscopic or histologic); presence of pseudopolyps, or family history of CRC in first degree relative > 50 years | Pancolitis without inflammation (endoscopic or histology); left sided UC or CD of similar extent (i.e. < 50% mucosa involved)* |
Non-Stratified Intervals | |||
ASGE, ACG and AGA(78, 88, 89) | Active inflammation (any severity), anatomic abnormalities (foreshortened colons, strictures or pseudopolyps), history of dysplasia, PSC, or family history of CRC in first degree relative (irrespective of age) | Extension to 1–3 years considered after 2 consecutive negative surveillance colonoscopies and no inflammation (no specification on how to lengthen interval) | No recommendation to extend to 5 year intervals |
ECCO guidelines do not have specific low-risk criteria. Low risk is those without high or intermediate risk.
NICE: National Institute of Health and Clinical Excellence; ECCO: European Crohn’s and Colitis Organization; BSG: British Society of Gastroenterology; ASGE: American Society of Gastrointestinal Endoscopy; ACG: American College of Gastroenterology; AGA: American Gastroenterology Association; PSC: Primary sclerosing cholangitis; CRC: colorectal cnacer; UC: ulcerative colitis; CD: Crohn’s disease