Fast Five Quiz: Management of Crohn Disease

Jaime Shalkow, MD

Disclosures

January 12, 2022

Figure 1. Illustration of Crohn disease in large intestine.

Surveillance colonoscopy is not currently recommended for all patients with Crohn disease. Chromoendoscopy for disease surveillance should be used in high-risk patients, including those with a history of dysplasia or who are otherwise at risk for colon cancer, including those who have a minimum of 8 years of disease and 30% or more of their colon involved. The use of narrow-band imaging is not recommended in place of chromoendoscopy.

Chromoendoscopy should be used during colonoscopy because it may increase diagnostic yield for colorectal dysplasia.

Symptoms do not correlate appropriately with the presence of active inflammation and should not be relied upon to guide therapy; instead, objective evaluation via endoscopic or cross-sectional imaging should be routinely performed.

Learn more about treatment of Crohn disease.

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