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THE OCCURRENCE OF DYSPLASIA AND INTESTINAL DISEASES IN PATIENTS HAVING LONG-LASTING ULCERATIVE COLITIS

Dr Arwa Zulfiqar, Dr Zahra Ali, Dr Ahmad Yar

Aims: To decide on the occurrence of dysplasia and intestinal diseases in cases having long-lasting ulcerative colitis. cases having long-standing broad ulcerative colitis have a high risk of colorectal malignancy. For preliminary evaluation of the extent of dysplastic injuries identified by chromoendoscopy from focused biopsies of perceptible anomalies and not from any biopsies of the intestinal mucosa. Patients and methods: Our current research were conducted at Mayo Hospital Lahore from January 2017 to March 2018. Successive respondents having medically inactive long-term UC (over 9 years) from 4 focus groups were involved in our current planned study; for each respondent a colonoscopy with chromoendoscopy by means of 0.2% methylene blue was achieved. Four mucosal biopsy examples were taken 10 cm among cecum and rectum, with additional biopsies or evacuations of mucosal abnormalities. Each endoscopy was performed by a single master of gastroenterology. Each biopsy was examined by a pathologist with gastroenterological experience. Results: 228 chromoendoscopy were completed on 110 cases. Researchers analyzed 52 neoplastic lesions in 33 cases; here were six adenocarcinomas, nine highly rated dysplasia, 26-second dysplasia, and 13 wounds that were not clear for dysplasia. Researchers took 8038 random biopsies and discovered seven dysplastic wounds in six patients: one high-grade dysplasia, two poor-quality dysplasia and four inconclusive dysplasia injuries. Irregular biopsies alone analyzed dysplasia in two patients (1.8%) and had clinical effect in only one patient (0.7%). Conclusion: In the current companion researchers found a high indicative yield of chromoendoscopy in discovery of neoplasia in IBD patients at increased risk. Irregular biopsies have no medical effect and would be discontinued. Keywords: Ulcerative colitis; Dysplasia; Colorectal tumor.

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