Advanced Endoscopic Imaging for the Detection of Dysplasia in Ulcerative Colitis: The Expert Approach

Abstract

Patients with ulcerative colitis are at an increased risk for the development of colitis-associated cancer. Therefore, surveillance in these patients is of crucial importance. Dysplasia in ulcerative colitis is often flat and surrounded by normal-appearing mucosa. Therefore, careful endoscopic inspection is important. Recent data indicate that advanced endoscopic imaging modalities have the potential to improve dysplasia detection in ulcerative colitis. This video focuses on the technique and application of advanced endoscopic imaging modalities for the early detection of dysplasia in ulcerative colitis, including dye-based and dye-less chromoendoscopy, magnification endoscopy, endocytoscopy, and confocal laser endomicroscopy. This article is part of an expert video encyclopedia.