Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Colonoscopy a Wise Choice for IBD Patients

Cochrane; 2017 Sep 18; Bye, et al

Patients with inflammatory bowel disease are less likely to develop colorectal cancer or to die from the disease if they are monitored with colonoscopy, according to a recent Cochrane Library review of the literature.

  • 5 studies that included over 7,000 patients were analyzed to compare those who had endoscopic surveillance to those who did not.
  • The odds of developing colon cancer were cut by 42% in patients who were screened.
  • The odds of dying from the malignancy were reduced by 64% in the same group.
  • Endoscopy also detected more early stage colorectal cancers, when compared to patients who were not screened.
Citation:

Bye WA, Nguyen TM, Parker CE, Jairath V, East JE. Strategies for detecting colon cancer in patients with inflammatory bowel disease. Cochrane Database of Syst Rev. 2017, Issue 9. Art. No.: CD000279. doi:10.1002/14651858.CD000279.pub4.

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