Changes to IBD Surveillance Guidelines
Following the changes implemented last year with respect to colitis surveillance, the British Society of Gastroenterology (BSG) has issued new guidance on the management of Inflammatory Bowel Disease (IBD).
Surveillance for ulcerative and crohn’s colitis used to work on the basis that the longer you had the condition, the greater the risk of cancer and therefore the closer together the surveillance became. Thus, in their fourth decade of colitis, patients would have annual colonoscopies.
However, the new surveillance protocol follows the same path as that of polyp surveillance – the patients are categorised into low, medium and high risk and are colonoscoped at 5 years, 3 years and 1 year respectively.
It is commonly reported that there are many incidences of colitic patients being lost to follow up, so it is advisable that practitioners carry out a patient search to find those who haven’t been checked for a while.
PrimeEndoscopy Bristol offer a community based endoscopy service where colitis patients can have their surveillance colonoscopy procedures.