1053 the Last Frontier of the Nonpolypoid Gastrointestinal Neoplasms and Flat Dysplasia of the Anal Canal

The incidence of canal cancer has been increasing. Anal cancer occurs most common in the older adults, within the age group that typically receives screening colonoscopy. Its early detection leads to improved survival. Unfortunately, while approximately 14 million of colonoscopy are performed per year in the US, the literature on the endoscopic detection and management of anal intraepithelial neoplasia is very sparse. The purpose of this case series is to describe the endoscopic detection and potential endoscopic management of anal intraepithelial neoplasia.