Endoscopic resection for non-polypoid dysplasia in inflammatory bowel disease: a systematic review protocol

BMJ Open. 2019 Sep 12;9(9):e029383. doi: 10.1136/bmjopen-2019-029383.

Abstract

Introduction: Non-polypoid low-grade dysplasia in inflammatory bowel disease is associated with a medium increased risk of colorectal cancer, while treatment recommendations remain controversial. We aim to evaluate the efficacy and safety of endoscopic treatment for non-polypoid dysplasia in patients with inflammatory bowel disease.

Methods and analysis: Medline, Embase, Cochrane Library, Scopus, Web of Science and clinical trials registry from database inception to the search date will be used to retrieve eligible studies. Studies that report the curative resection rate or any of other secondary outcomes of endoscopic treatment in patients with non-polypoid dysplasia in inflammatory bowel disease will be included in the analysis. We will conduct quantitative synthesis if the eligible studies are homogeneous judging from clinical and methodological perspectives.

Ethics and dissemination: Ethical approval for this study was waived by the Ethics Committee of Peking Union Medical College Hospital because there are no individual data involved in the analysis and all the combined results will be retrieved from study-level data. We plan to disseminate results through peer-reviewed journals or conference abstracts.

Prospero registration number: CRD42019120413.

Keywords: Non-polypoid dysplasia; endoscopy; inflammatory bowel diseases; protocol; systematic review.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Endoscopy, Gastrointestinal / methods*
  • Humans
  • Inflammatory Bowel Diseases / pathology*
  • Inflammatory Bowel Diseases / surgery*
  • Research Design*
  • Systematic Reviews as Topic