Peter Higgins, MD, PhD, co-author of a recent editorial regarding the use of chromoendoscopy surveillance in IBD and ulcerative colitis, talks with AJG Co-Editor Dr. William Chey about the relationship between chronic ulcerative colitis and dysplasia, the real rate of dysplasia development in these patients, and how frequently surveillance colonoscopy should be performed. Dr. Higgins also summarizes recent research on the use of chromoendoscopy for surveillance and weighs the costs and benefits of applying this procedure to IBD patients in clinical practice. (21:08)