NICE Flowchart: Colonoscopic surveillance overview
This interactive flowchart from NICE covers colonoscopic surveillance to prevent colorectal cancer in adults with ulcerative colitis, Crohn’s disease or adenomas.
Some people with inflammatory bowel disease (ulcerative colitis or Crohn’s disease) or with adenomas have a higher risk of developing colorectal cancer than the general population.
In this pathway ‘adenomas’ is used to refer to precancerous polyps. Adenomas larger than 10 mm are more likely to progress to invasive cancers.
Colonoscopic surveillance can identify precancerous lesions early and prevent progression to colorectal cancer. It can also identify invasive cancer at an early stage. The aim of this guideline is to reduce the variation in the timing, frequency and method of surveillance to improve the care of people with inflammatory bowel disease or adenomas at increased risk of developing colorectal cancer.
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