A 39-year-old woman has ulcerative pancolitis diagnosed 9 years ago. Symptoms are controlled on mesalamine. She has no primary sclerosing cholangitis

Question

A 39-year-old woman has ulcerative pancolitis diagnosed 9 years ago. Symptoms are controlled on mesalamine. She has no primary sclerosing cholangitis and no prior dysplasia. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Begin surveillance colonoscopy programme

Answer

Perform colectomy as routine prophylaxis

Answer

Screen with annual abdominal CT

Answer

Measure CEA every 3 months

Answer

Stop colorectal surveillance because symptoms are controlled

Ulcerative colitis surveillance — USMLE Step 3 MCQ

A 39-year-old woman has ulcerative pancolitis diagnosed 9 years ago. Symptoms are controlled on mesalamine. She has no primary sclerosing cholangitis and no prior dysplasia. Which of the following would you recommend at the follow-up visit?