Hey mlp.
I have not seen any distinction between paediatric and adult surveillance guidlelines that I can recall.
The recommendations in Oz don't differ between GESA (Gastroenterological Society of Australia) and the Cancer Council of Australia:
Colonoscopic surveillance and management of dysplasia in inflammatory bowel disease (IBD)
- Patients with a strong personal family history of colorectal cancer (CRC) should start surveillance earlier.
- Patients with ulcerative colitis extending beyond the sigmoid colon and individuals with Crohn’s colitis that involves more than one-third of colon should commence surveillance no later than eight years after onset of symptoms.
- If Primary Sclerosing Cholangitis (PSC) is detected before this time, surveillance should commence at the time of its diagnosis.
*Annual colonoscopic surveillance is recommended for patients with ulcerative colitis extending proximal to the sigmoid colon or patients with Crohn’s colitis affecting more than one third of the colon and with one or more of the following risk factors:
• Active disease
• Primary sclerosing cholangitiis
• Family history of colorectal cancer in first degree relative < 50 years old
• Colonic stricture, patients with multiple inflammatory polyps or shortened colon
• Previous dysplasia
*Three yearly colonoscopy is recommended for patients with:
• Inactive ulcerative colitis extending proximal to the sigmoid colon without any of the above risk factors
• Patients with Crohn’s colitis affecting more than one third of the colon without any of the above risk factors
• IBD patients with a family history of colorectal cancer in a first degree relative > 50 years old
*Five yearly colonoscopy recommended for patients in whom two previous colonoscopies that were macroscopically and histologically normal.
This is the full guideline, just scroll down until you reach the section title as above:
http://wiki.cancer.org.au/australia...scopy_surveillance/Summary_of_recommendations
Since these recommendations are based on location, extent of disease and findings I don't imagine that age would be consideration. Even more so considering that colonic disease is a more prevalent finding in early onset IBD and disease is generally harder to treat leading to longer periods of activity.
