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  1. Physicians'perceptions of dysplasia and approaches to surveillance colonoscopy in ulcerative colitis.

    Article - En anglais

    Objective 

    Colonoscopic biopsy surveillance to detect dysplasia, defined as a neoplastic change of the epithelium without invasion into the lamina propria, in patients with ulcerative colitis has become a widespread practice.

    We undertook a survey study to determine physicians'perceptions of, and approaches to, dysplasia surveillance colonoscopy in ulcerative colitis.

    Methods 

    Members of two regional gastroenterology associations in the United States, including both academic and private practice-based gastroenterologists, and a group of senior gastroenterology trainees were surveyed by means of a written questionnaire.

    The questionnaires were distributed at three separate meetings of practicing gastroenterologists or trainees :

    • 1) a Gastrointestinal pathology course for second-year gastroenterology fellows from training programs around the United States (February 1993,

    • Los Angeles,

    • CA) ; 2) a meeting of the Southern California Gastroenterology Society (March 1993, Los Angeles, CA) ; and 3) a meeting of the Pacific Northwest Gastroenterology Society (June 1993, Seattle, Washington).

    The percentages of all responses were tallied and analyzed for the group as a whole as well as by subgroup analysis.

    Understanding of the definition of dysplasia and specific practice techniques and approaches were the main outcomes sought.

    Results 

    Only 19% of respondents correctly identified the definition of dysplasia.

    Mots-clés Pascal : Dysplasie, Rectocolite ulcérohémorragique, Colonoscopie, Médecin, Association, Surveillance, Homme, Appareil digestif pathologie, Intestin pathologie, Maladie inflammatoire, Endoscopie

    Mots-clés Pascal anglais : Dysplasia, Ulcerative colitis, Colonoscopy, Physician, Association, Surveillance, Human, Digestive diseases, Intestinal disease, Inflammatory disease, Endoscopy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0047966

    Code Inist : 002B30A03B. Création : 01/03/1996.