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. 2017 Jun 16;9(6):255–262. doi: 10.4253/wjge.v9.i6.255

Table 2.

Risk factors for the development of colorectal cancer in patients with inflammatory bowel disease and recommended surveillance[1-7,9,11,13-15,17,18,24]

High risk Intermediate risk Low risk
Risk factors PSC Extensive involvement Moderate-severe active inflammation sustained over time (endoscopic or histological) First-degree relative with CRC at an age of less than 50 Stenosis or dysplasia detected during the previous five years Appearance of IBD at a young age1 If ileo-anal pouch: Dysplasia Previous CRC PSC Type C mucosa in the pouch Extensive colitis with mild or moderate sustained inflammatory activity (endoscopic or histological) Inflammatory polyps First-degree relative with CRC at an age of above 50 Other factors different from high and intermediate risk
Surveillance Annual Every three years Every five years
1

BSG[5], CCFA[11], WGO[14] and SVG[18]. CRC: Colorectal cancer; IBD: Inflammatory bowel disease; PSC: Primary sclerosing cholangitis.