Table of Contents
ISRN Gastroenterology
Volume 2011, Article ID 509251, 4 pages
http://dx.doi.org/10.5402/2011/509251
Clinical Study

Is Surveillance Endoscopy Necessary after Colectomy in Ulcerative Colitis?

1Department of Surgical Oncology, The University of Tokyo, Tokyo 113-8655, Japan
2Department of Surgery, The Institute of Medical Science, The University of Tokyo, Tokyo 108-8639, Japan
3Department of Surgery, Kanto Rosai Hospital, Japan Labour Health and Welfare Organization, Kanagawa 211-8510, Japan
4Department of Transfusion Medicine, The University of Tokyo, Tokyo 113-8655, Japan

Received 25 March 2011; Accepted 15 May 2011

Academic Editor: G. H. Kang

Copyright © 2011 Yasutaka Shuno et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The role of surveillance endoscopic followup in colectomized patients with long standing total colitis is controversial. Here, we aimed to clarify its usefulness for the early detection of dysplasia and cancer in this group of patients. Ninety-seven colectomised UC patients followedup by surveillance endoscopy were retrospectively investigated by reviewing the pathological reports. Patients had received either subtotal colectomy and ileo-rectal anastomosis (IRA) or total proctocolectomy and ileal anal anastomosis (IPAA). Definite dysplasia was diagnosed in 4 patients, who had received IRA; among them, 2 were carcinoma with submucosal invasion, and one was a high-grade dysplasia. Postoperative surveillance endoscopy is useful for the detection of early cancer in the remaining colonic mucosa of UC patients, and those receiving IRA, in which rectal mucosa is left intact, would be good candidates. However, its effectiveness for patients receiving IPAA, in which the rectal mucosa is resected, needs further investigation.