作者: Robert H. Collins , Mark Feldman , John S. Fordtran
DOI: 10.1056/NEJM198706253162609
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摘要: Most gastroenterologists and current textbooks1 2 3 recommend that patients who have had widespread ulcerative colitis for 7 to 10 years should be entered into a surveillance program designed detect colonic dysplasia (precancer). This involves frequent colonoscopies with multiple mucosal biopsies. The recommended frequency of colonoscopy is any time from every year three years. Although there no clear rationale choosing one interval over another, the Medical Knowledge Self-Assessment Profile, publication American College Physicians, states long-term extensive year.4 argument in such . . .