Question

A 45-year-old man presents with chronic diarrhoea, abdominal pain and weight loss. Colonoscopy reveals continuous inflammation from the rectum to the sigmoid colon. Biopsies confirm ulcerative colitis. According to Canadian IBD management, which cancer surveillance strategy is most appropriate once disease has been present for 8-10 years?

Accepted Answer

Begin colonoscopic surveillance every 1-3 years after 8-10 years of disease

Answer

No increased colorectal cancer surveillance is required

Answer

Annual colonoscopy from diagnosis

Answer

Stool FIT testing every 2 years is sufficient

Answer

CT colonography every 5 years instead of colonoscopy

Practice question