Year 2019 / Volume 111 / Number 5
Case Report
Serrated Lesions in patients with Inflammatory Bowel Disease.

400-402

DOI: 10.17235/reed.2019.5910/2018

David Viso Vidal, Mónica Sierra Ausín, Patricia Suárez Álvarez, Francisco Jorquera Plaza,

Abstract
Background: a new serrated histologic finding has recently been discovered in patients with inflammatory bowel disease (IBD), known as serrated epithelial change (SEC). Recent studies suggest that SEC is strongly associated with dysplasia. Case report: the case was a 62-year-old male in a dysplasia-colorectal cancer screening program with periodic chromoendoscopies, with CES findings in the previous chromoendoscopy studies. Discussion: a prophylactic colectomy seems a reasonable option for patients with several serrated lesions identified via chromoendoscopy screening. Particularly, if they are extensive and poorly defined, due to the possibility of developing high-grade dysplasia or colorectal cancer (CRC) during surveillance.
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References
1. Castro J, Cuatrecasas M, Balaguer F, et al. Serrated polyposis syndrome associated with long-standing inflammatory bowel disease. Rev Esp Enferm Dig 2017; 109: 796-98.
2. Parian A, Lazarev M. Serrated Colorectal Lesions in Patients With Inflammatory Bowel Disease. Gastroenterol Hepatol 2018; 14: 19-25.
3. Parian A, Koh J, Limketkai B, et al. Association between serrated epithelial changes and colorectal dysplasia in inflammatory bowel disease. Gastrointest Endosc 2016; 84: 87–95.
4. Lee L, Iacucci M, Fort M, et al. Prevalence and Anatomic Distribution of Serrated and Adenomatous Lesions in Patients with Inflammatory Bowel Disease. Can J Gastroenterol Hepatol 2017; 17: 1-8.
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Viso Vidal D, Sierra Ausín M, Suárez Álvarez P, Jorquera Plaza F. Serrated Lesions in patients with Inflammatory Bowel Disease.. 5910/2018


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Publication history

Received: 07/09/2018

Accepted: 26/12/2018

Online First: 09/04/2019

Published: 07/05/2019

Article Online First time: 214 days

Article editing time: 242 days


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