Table 2.
Modified colonoscopy surveillance interval according to risk stratification in patients with IBD24,25
Risk level | High risk | Moderate risk | Low risk |
---|---|---|---|
Surveillance interval | Every year | Every 2–3 years | Every 5 years |
Risk factors | ● Extensive colitis with moderate to severe endoscopic and/or histological inflammation | ● Extensive colitis with mild endoscopic and/or histological inflammation | ● Colitis affecting less than 50% of the colon |
● CRC in a first-degree relative diagnosed before 50 years of age | ● CRC in a first-degree relative diagnosed after 50 years of age | ||
● Concurrent PSC | ● Post-inflammatory polyps | ||
● Stricture within 5 years | |||
● Dysplasia within 5 years |
IBD, inflammatory bowel disease; CRC, colorectal cancer; PSC, primary sclerosing cholangitis.