What is the treatment strategy for dysplasia in patients with UC or Crohn’s disease?
- If dysplasia is identified during endoscopic screening, it should be confirmed by a second GI pathologist.
- HGD or multifocal LGD detected during endoscopy in an area of flat mucosa is an indication for colectomy.
- The management of unifocal LGD is controversial, as some experts recommend colectomy.