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Received Feb 5, 2017; Accepted Aug 21, 2017
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1. Introduction
Ulcerative colitis (UC) is a nonspecific, chronic inflammation of the colon and rectum, primarily of the mucosal and submucosal layers [1, 2]. UC frequently occurs in young people and is characterized by abdominal pain, diarrhoea, and bloody mucopurulent stool [3]. UC-related complications including toxic giant colon, bleeding, perforation, and cancer seriously affect quality of life [4]. Thus, the World Health Organization lists UC as a miscellaneous problem [5].
The number of patients with UC is increasing annually in Asia, and the incidence of UC has increased more than 3 times in 10 years in China [6]. Because of delayed healing, the rate of UC recurrence is very high. In addition, the detection rate of UC-associated colorectal cancer (UC-CRC), which is one of the most serious complications, has increased, and UC-CRC now accounts for 10–15% of deaths in patients with UC [7]. The disease process that leads to UC-CRC involves “continuous intestinal inflammation, suspicious atypical hyperplasia, a low degree of atypical hyperplasia, and highly atypical hyperplasia and cancer”; however, the later steps can be skipped [8]. Moreover, the progression through “inflammation to atypical hyperplasia to cancer” in patients with UC is more rapid than the progression of “adenoma...