Enhanced surveillance colonoscopy techniques for dysplasia detection in ulcerative colitis have successfully been implemented into group and solo practices. Chromoendoscopy (CE), in particular, has been shown to significantly increase dysplasia detection in surveillance of patients with inflammatory bowel disease. CE can be learned and is reproducible, with an associated modest increase in procedure time.
Key points
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Chromoendoscopy increases dysplasia detection in ulcerative colitis, and can be implemented across solo and group practices.
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Chromoendoscopy may not increase procedure time if the practice of random surveillance biopsies is abandoned.
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