Inflammatory bowel disease cancer surveillance in a tertiary referral hospital: attitudes and practice.

摘要: Background Physician adherence to guidelines for colorectal cancer (CRC) surveillance in inflammatory bowel disease (IBD) is often poor. This may lead adverse patient outcomes and excess endoscopic workload. Aims To assess the attitudes practice of IBD specialists a tertiary centre towards colonoscopic surveillance. Methods First, questionnaire evaluating approach CRC was issued 36 clinicians at one referral hospital. Second, retrospective audit colonoscopy over 2-year period performed. Results Questionnaire response rate 97%. Sixty-nine per cent respondents were aware of, used, Australian guidelines. Surveillance undertaken by all patients with extensive colitis, 83% left-sided colitis 51% proctitis. Seventy-six used chromoendoscopy, 47% took 10 20 random biopsies. Colectomy considered appropriate 0% unifocal low-grade dysplasia, 35% multifocal dysplasia high-grade dysplasia. Sixty-six would remove elevated dysplastic lesions endoscopically. The identified 103 colonoscopies 81 patients. Chromoendoscopy 21% cases, median number biopsies 13. Sixty-two performed outside relation frequency. Following colonoscopy, an recommendation subsequent documented 40% cases. Conclusions Knowledge vary among specialist deviate from Many perform earlier more frequently than recommended. These findings have implications workload.