Treatment strategy for dysplasia in Crohns disease

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.


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