Discover and read the best of Twitter Threads about #SCENIC

Most recents (1)

1/
Important update for #IBD. The @AmerGastroAssn has issued updated clinical practice recommendations for neoplasia surveillance in #IBD. These are not the same as "guidelines" although the difference may be mostly semantics.
Several important highlights follow
Read on!
2/ Use the newest terminology to describe a suspicious lesions as per #SCENIC: polypoid (>2.5 mm tall), non-polypoid (<2.5 mm) or invisible (avoid "flat") if detected on random biopsies, see ⬇️
Describe size, morphology, borders (v important!) and location (within/out colitis) Lesion descriptors
3/ When to start: 8-10 years after dx. Disease extent (e.g. L-sided) no longer emphasized.
a. Exception are patients with #PSC #IBD in whom you should start immediately and repeat annually
b. Use the first c/scope as an opportunity to restage
c. target severely affected areas
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