P237 Regional IBD surveillance endoscopy north west (RISE NoW): an audit of surveillance colonoscopy practice in inflammatory bowel disease in north-west England
Gastroenterology Trainee Research and Improvement Network North West (GasTRIN NoW)
Interval surveillance colonoscopy plays a crucial role in identifying and managing colitis-related dysplasia to reduce the risk of colorectal cancer. Dye based or image enhanced chromoendoscopy have been endorsed by multiple organisations as the preferred means of detecting dysplasia since 2015. We aimed to assess the methods of surveillance utilised within the north-west of England using the established trainee research network, GasTRIN NoW.
GasTRIN NoW investigators prospectively collected data from 10 hospitals in North West England to assess surveillance practice between June and October 2018. All IBD interval surveillance colonoscopies were included. SCENIC consensus guidelines were used as the standard for adequate surveillance while BSG standards were used for the interval surveillance standard.1,2
In total, 226 patients underwent IBD surveillance endoscopy (143 UC, 66 CD, 17 IBDU) with a median disease duration of 12 years (IQR 9–20). There were 122 males and the median age was 54 years (range 20–86). A total of 46 (20%) procedures did not adhere to and 21 (46%) of which were delayed (>6 months). Dye spray was used in 22%(
Our data demonstrate that there are delays to elective IBD surveillance in clinical practice. Dye spray colonoscopy is not widely practised across north-west England. Dye spray colonoscopy identified more visible dysplasia and was associated with longer withdrawal time, a recognised surrogate marker for colonoscopy quality. Our data will inform future work in optimising IBD surveillance in England.
1. Laine L, Kaltenbach T, Barkun A,
2. Mowat C, Cole A, Windsor A,