Mistakes in Malignancy surveillance in IBD and how to avoid them

Filters:

UEG Mistakes In Articles

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Mistakes in Malignancy surveillance in IBD and how to avoid them

Axel Dignass, Edyta Maria Tulewicz-Marti

Summary

AI Generated

This material addresses nine common mistakes in screening for dysplasia and malignancy in inflammatory bowel disease patients and provides guidance on avoiding them.

Inflammatory bowel disease comprises chronic, progressive, lifelong, and currently incurable gastrointestinal disorders that may be associated with colorectal dysplasia and cancer development.
Technological improvements in disease management and malignancy screening have enabled earlier detection of precancerous lesions and timely resection of premalignant or localised malignant lesions, resulting in improved patient outcomes.
The material presents nine common mistakes encountered in screening for dysplastic and malignant lesions in IBD management, based on clinical experience and an evidence-based approach.
This content would be most relevant to clinicians managing patients with inflammatory bowel disease who perform or oversee dysplasia surveillance.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Inflammatory bowel disease (IBD) comprises chronic, progressive, lifelong, and currently incurable disorders of the gastrointestinal tract, which may also be associated with the development of colorectal dysplasia and cancer. However, technological improvements in disease management and malignancy screening over recent decades have enabled earlier detection of precancerous lesions and timely resection of premalignant lesions or even localised malignant lesions, resulting in improved patient outcomes. Here, we discuss mistakes encountered in the screening of dysplastic and malignant lesions when managing patients with IBD. Based on our clinical experience and an evidence-based approach, we present nine common mistakes and how to avoid them.

Topics

IBD

Citation

Tulewicz-Marti E and Dignass A. Mistakes in malignancy surveillance in IBD and how to avoid them. UEG Education 2024; 24: 25-28.

Published

2024

More Like This:

Mistakes in Pancreatic exocrine insufficiency and how to avoid them

Matthias Löhr

Mistakes in transjugular intrahepatic portosystemic shunt (TIPS) in cirrhosis and how to avoid them

Marco Senzolo

How to become an advanced endoscopist with Katarzyna Pawlak and Paolo Giorgio Arcidiacono

Egle Dieninyte - Misiune

Mistakes in ostomy management and how to avoid them

Ian White

Coeliac disease with David Sanders

Pradeep Mundre

Mistakes in colorectal cancer and how to avoid them

Antoni Castells

UEG Mistakes In Articles

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Mistakes in Pancreatic exocrine insufficiency and how to avoid them

Miroslav Vujasinovic, J. Enrique Domínguez Muñoz, Matthias Löhr

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Pancreatic exocrine insufficiency (PEI) is a common yet frequently under-recognised cause of maldigestion, malabsorption, and malnutrition. Although traditionally associated with primary pancreatic disorders such as chronic pancreatitis, cystic fibrosis, pancreatic cancer, or pancreatic surgery, it is now evident that PEI also occurs in a wide range of extra-pancreatic conditions and clinical settings. Advances in diagnostic testing and expanding clinical awareness have improved detection; however, significant misconceptions persist regarding when to suspect PEI; how to interpret diagnostic tests; and how to initiate, optimise, and monitor pancreatic enzyme replacement therapy (PERT). In everyday practice, these errors may lead to delayed diagnosis, inappropriate treatment, persistent symptoms, and preventable nutritional deficiencies. This “Mistakes in…” article highlights common pitfalls in the diagnosis and management of PEI, focusing on inappropriate reliance on faecal elastase testing, failure to recognise secondary causes, undertreatment with PERT, and inadequate nutritional assessment. By addressing these frequent mistakes, we aim to promote a more structured, patient-centred, and evidence-informed approach to PEI that improves clinical outcomes and quality of life.

Topics

Pancreas

Published

2026

More Like This:

Mistakes in Pancreatic exocrine insufficiency and how to avoid them

Matthias Löhr

Mistakes in transjugular intrahepatic portosystemic shunt (TIPS) in cirrhosis and how to avoid them

Marco Senzolo

How to become an advanced endoscopist with Katarzyna Pawlak and Paolo Giorgio Arcidiacono

Egle Dieninyte - Misiune

Mistakes in ostomy management and how to avoid them

Ian White

Coeliac disease with David Sanders

Pradeep Mundre

Mistakes in colorectal cancer and how to avoid them

Antoni Castells

UEG Mistakes In Articles

New

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Mistakes in transjugular intrahepatic portosystemic shunt (TIPS) in cirrhosis and how to avoid them

Kymentie Ferdinande, Alberto Zanetto, Virginia Hernández-Gea, Marco Senzolo

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

TIPS success is rarely about the procedure alone. It depends on decisions made across the entire clinical pathway.

New in the UEG "Mistakes in…" series: Ferdinande et al., present 10 common mistakes in TIPS for cirrhosis, from referral to long-term follow-up.

Key themes:

• Screen the heart first: cardiac decompensation follows TIPS in up to 20% of patients.

• Refer early: delay costs survival in refractory ascites and high-risk variceal bleeding.

• Prevent encephalopathy by design: careful selection, nutrition, rifaximin, and controlled underdilation.

• Individualise haemodynamic targets and follow up structurally.

Topics

Hepatobiliary Surgery

Published

2026

More Like This:

Mistakes in Pancreatic exocrine insufficiency and how to avoid them

Matthias Löhr

Mistakes in transjugular intrahepatic portosystemic shunt (TIPS) in cirrhosis and how to avoid them

Marco Senzolo

How to become an advanced endoscopist with Katarzyna Pawlak and Paolo Giorgio Arcidiacono

Egle Dieninyte - Misiune

Mistakes in ostomy management and how to avoid them

Ian White

Coeliac disease with David Sanders

Pradeep Mundre

Mistakes in colorectal cancer and how to avoid them

Antoni Castells

UEG Podcast Episode

UEG Podcast

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

How to become an advanced endoscopist with Katarzyna Pawlak and Paolo Giorgio Arcidiacono

Katarzyna Pawlak, Paolo Giorgio Arcidiacono, Egle Dieninyte - Misiune

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Topics

Endoscopy

Published

2025

More Like This:

Mistakes in Pancreatic exocrine insufficiency and how to avoid them

Matthias Löhr

Mistakes in transjugular intrahepatic portosystemic shunt (TIPS) in cirrhosis and how to avoid them

Marco Senzolo

How to become an advanced endoscopist with Katarzyna Pawlak and Paolo Giorgio Arcidiacono

Egle Dieninyte - Misiune

Mistakes in ostomy management and how to avoid them

Ian White

Coeliac disease with David Sanders

Pradeep Mundre

Mistakes in colorectal cancer and how to avoid them

Antoni Castells

UEG Mistakes In Articles

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Mistakes in ostomy management and how to avoid them

Revital Barkan, Ian White, Iris Dotan

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Ostomy management refers to the care and maintenance of an ostomy and involves various aspects to ensure the individual’s health, comfort, and quality of life. This should involve the patient, a close support system (family and/or friends), and a healthcare team, including ostomy nurses and healthcare professionals specialising in ostomy care.

Topics

Primary Care

Published

2025

More Like This:

Mistakes in Pancreatic exocrine insufficiency and how to avoid them

Matthias Löhr

Mistakes in transjugular intrahepatic portosystemic shunt (TIPS) in cirrhosis and how to avoid them

Marco Senzolo

How to become an advanced endoscopist with Katarzyna Pawlak and Paolo Giorgio Arcidiacono

Egle Dieninyte - Misiune

Mistakes in ostomy management and how to avoid them

Ian White

Coeliac disease with David Sanders

Pradeep Mundre

Mistakes in colorectal cancer and how to avoid them

Antoni Castells

UEG Podcast Episode

UEG Podcast

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Coeliac disease with David Sanders

David S. Sanders, Pradeep Mundre

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Topics

Small Intestine & Nutrition

Published

2026

More Like This:

Mistakes in Pancreatic exocrine insufficiency and how to avoid them

Matthias Löhr

Mistakes in transjugular intrahepatic portosystemic shunt (TIPS) in cirrhosis and how to avoid them

Marco Senzolo

How to become an advanced endoscopist with Katarzyna Pawlak and Paolo Giorgio Arcidiacono

Egle Dieninyte - Misiune

Mistakes in ostomy management and how to avoid them

Ian White

Coeliac disease with David Sanders

Pradeep Mundre

Mistakes in colorectal cancer and how to avoid them

Antoni Castells

UEG Mistakes In Articles

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Mistakes in colorectal cancer and how to avoid them

Antoni Castells, Francesc Balaguer

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Colorectal cancer (CRC) is a common and deadly disease. Advances in understanding the disease have improved diagnosis, prevention, and treatment. Genetic factors play a role in some cases of CRC, and identifying hereditary disorders has helped reduce morbidity and mortality. Serrated polyps are also precursors of CRC, and colonoscopy is crucial for screening and prevention. However, colonoscopy is not perfect, and some lesions may be missed. Here we discuss common mistakes in CRC diagnosis, prevention, and treatment, and how to avoid them.

Topics

Digestive Oncology

Citation

Balaguer F and Castells A. Mistakes in colorectal cancer and how to avoid them. UEG Education 2016: 16: 7–10.

Published

2025

More Like This:

Mistakes in Pancreatic exocrine insufficiency and how to avoid them

Matthias Löhr

Mistakes in transjugular intrahepatic portosystemic shunt (TIPS) in cirrhosis and how to avoid them

Marco Senzolo

How to become an advanced endoscopist with Katarzyna Pawlak and Paolo Giorgio Arcidiacono

Egle Dieninyte - Misiune

Mistakes in ostomy management and how to avoid them

Ian White

Coeliac disease with David Sanders

Pradeep Mundre

Mistakes in colorectal cancer and how to avoid them

Antoni Castells