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(IBD) and Bowel Cancer Risk - Bowel Cancer UK

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give you<br />

the facts<br />

What is my degree of risk<br />

The degree of risk is related to the degree of<br />

inflammation in the bowel, which can be seen<br />

during the colonoscopy. The more inflamed the<br />

bowel, the higher the risk.<br />

Whether or not you are advised to have further<br />

checks will depend on how much inflammation can<br />

be seen. The following is a general guide:<br />

• If you have no active inflammation (where the<br />

lining of the bowel is irritated) you are considered<br />

to be at lower risk. You should be offered a<br />

further colonoscopy after five years.<br />

• If you have mild active inflammation you are<br />

considered to be at medium risk. You should be<br />

offered a further colonoscopy after three years.<br />

• If you have moderate to severe active<br />

inflammation you are considered to be at higher<br />

risk. You should be offered a further colonoscopy<br />

after one year.<br />

To find out more about whether you have a family<br />

history of bowel cancer that may increase your risk,<br />

see our Family History factsheet.<br />

Can I do anything to reduce my risk of bowel<br />

cancer<br />

Doctors <strong>and</strong> researchers don’t yet know the exact<br />

cause of bowel cancer. We do know that certain<br />

factors, including <strong>IBD</strong>, may contribute to a higher<br />

risk. If you have <strong>IBD</strong> you can help to reduce your risk<br />

by.<br />

• managing your lifestyle, such as eating a<br />

healthy diet <strong>and</strong> taking regular exercise<br />

• seeing your doctor for a regular check-up, even<br />

when your <strong>IBD</strong> is in remission<br />

• having regular colonoscopies, according to your<br />

risk (see previous section)<br />

• Other factors may determine when you are<br />

offered further colonoscopies including: postinflammatory<br />

polyps (a polyp is an overgrowth<br />

of cells that protrudes into the bowel; a postinflammatory<br />

polyp sometimes occurs as the<br />

bowel heals after a bout of inflammation), your<br />

family history of bowel cancer, your age <strong>and</strong> your<br />

general health.<br />

Further sources of information<br />

We have a range of related factsheets <strong>and</strong> booklets that you can download from our website here:<br />

www.bowelcanceruk.org.uk/resources<br />

You can also get support <strong>and</strong> information on living with <strong>IBD</strong> from Crohn’s <strong>and</strong> Colitis <strong>UK</strong> – visit<br />

www.nacc.org.uk<br />

To find out more about this product, or to tell us what you think, please call us on 020 7381 9711 or<br />

email feedback@bowelcanceruk.org.uk<br />

© <strong>Bowel</strong> <strong>Cancer</strong> <strong>UK</strong><br />

<strong>IBD</strong> <strong>and</strong> <strong>Bowel</strong> <strong>Cancer</strong> <strong>Risk</strong> factsheet<br />

Information correct at time of publication: November 2012<br />

Date for review: November 2014<br />

For further information contact the <strong>Bowel</strong><br />

<strong>Cancer</strong> Information <strong>and</strong> Support Service:<br />

Freephone 0800 8 40 35 40<br />

Email: support@bowelcanceruk.org.uk<br />

Website: www.bowelcanceruk.org.uk<br />

London office<br />

7 Rickett Street<br />

London SW6 1RU<br />

Tel: 020 7381 9711<br />

Fax: 020 7381 5752<br />

Edinburgh office<br />

20 Queen Street<br />

Edinburgh EH2 1JX<br />

Tel: 0131 225 5333<br />

Fax: 0131 225 2206<br />

Registered Charity Number (Engl<strong>and</strong> & Wales) 1071038. Scottish Charity Number SCO40914. A Company Limited by Guarantee Number 3409832 (Engl<strong>and</strong>). Registered Office (London) as above.

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