Can long term use of asacol (on & off for 20 years) have any bearing on the results of a biopsy? With a history of UC should I trust my doctor's prognosis to have my colon removed as a prevention to cancer? I am wondering if there has been any studies on whether the use of asacol can cause dysplastic cell changes or do I trust that it is the disease which as been inactive. If I went off the asacol would I increase or speed up the dysplasia ( I understand the colitis