Improving the quality of surveillance colonoscopy in inflammatory bowel disease

Marietta Iacucci, Rosanna Cannatelli, Gian Eugenio Tontini, Remo Panaccione, Silvio Danese, Gionata Fiorino, Takayuki Matsumoto, Gursimran S. Kochhar, Bo Shen, Ralf Kiesslich, Subrata Ghosh

Research output: Contribution to journalReview article

Abstract

Several recommendations have addressed the topic of improving the quality of surveillance colonoscopy in inflammatory bowel disease. However, there is variation between these recommendations, in part due to the absence of well-defined quality indicators, suggesting that these quality indicators should be studied and developed. We did a systematic review of evidence related to surveillance colonoscopy in inflammatory bowel disease to look at the different variables in this practice and offer a critique of the quality control measures before, during, and after the procedure. We identified several key quality measures that could be adopted in clinical practice, including control of inflammation, optimal bowel preparation, ideal time allocation, training, sedation, detection and characterisation of lesions, therapeutic management of the lesions, and colonoscopic reports. However, further primary research and consensus reports are needed to continue developing roadmaps at a global level.

Original languageEnglish
Pages (from-to)971-983
Number of pages13
JournalThe Lancet Gastroenterology and Hepatology
Volume4
Issue number12
DOIs
Publication statusPublished - Dec 2019

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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    Iacucci, M., Cannatelli, R., Tontini, G. E., Panaccione, R., Danese, S., Fiorino, G., Matsumoto, T., Kochhar, G. S., Shen, B., Kiesslich, R., & Ghosh, S. (2019). Improving the quality of surveillance colonoscopy in inflammatory bowel disease. The Lancet Gastroenterology and Hepatology, 4(12), 971-983. https://doi.org/10.1016/S2468-1253(19)30194-3