Advanced endoscopic techniques in the assessment of inflammatory bowel disease: new technology, new era

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Advanced endoscopic techniques in the assessment of inflammatory bowel disease : new technology, new era. / Iacucci, Marietta; Furfaro, Federica; Matsumoto, Takayuki; Uraoka, Toshio; Smith, Samuel; Ghosh, Subrata; Kiesslich, Ralf.

In: Gut, Vol. 68, No. 3, 03.2019, p. 562-572.

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Iacucci, Marietta ; Furfaro, Federica ; Matsumoto, Takayuki ; Uraoka, Toshio ; Smith, Samuel ; Ghosh, Subrata ; Kiesslich, Ralf. / Advanced endoscopic techniques in the assessment of inflammatory bowel disease : new technology, new era. In: Gut. 2019 ; Vol. 68, No. 3. pp. 562-572.

Bibtex

@article{fe338a727dd642109ab71a11d51cccff,
title = "Advanced endoscopic techniques in the assessment of inflammatory bowel disease: new technology, new era",
abstract = "Endoscopic assessment of inflammation and mucosal healing is crucial for appropriate management in IBD. Current definition of endoscopic mucosal healing has been derived using previous generation of standard white light endoscopes. New endoscopy technologies widely available provide much more detailed images of mucosal and vascular patterns. Novel endoscopic techniques with high definition image, optical and digital enhancement have enhanced the quality and fine details of vascular and mucosal pattern so that endoscopic images have started to reflect histological changes for lesions and inflammation/healing. These technologies can now define subtle inflammatory changes and increase detection and characterisation of colonic lesions in patients with IBD. The best endoscopic technique to detect dysplasia in IBD is still debated. Dye chromoendoscopy with targeted biopsies is considered by Surveillance for Colorectal Endoscopic Neoplasia Detection and Management in inflammatory Bowel Disease Patients: International Consensus Recommendations (SCENIC consensus the standard of care and recommended for adoption by gastroenterologists in practice. In future, it is possible that well-trained colonoscopists using high definition equipment with image enhancements may be able to obtain equivalent yield without pan-colonic dye spraying and characterise lesions. Finally, SCENIC introduced endoscopic resectability of some dysplastic colonic lesions-new techniques may now better characterise endoscopic resectability and limit the number of colectomies. In this review, we will provide a state-of-the-art opinion on the direction of technological advances in the assessment of IBD and how new concepts will refine clinical practice.",
keywords = "chronic diarrhoea, endoscopy, functional bowel disorder",
author = "Marietta Iacucci and Federica Furfaro and Takayuki Matsumoto and Toshio Uraoka and Samuel Smith and Subrata Ghosh and Ralf Kiesslich",
note = "{\textcopyright} Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2019",
month = mar,
doi = "10.1136/gutjnl-2017-315235",
language = "English",
volume = "68",
pages = "562--572",
journal = "Gut",
issn = "0017-5749",
publisher = "BMJ Publishing Group",
number = "3",

}

RIS

TY - JOUR

T1 - Advanced endoscopic techniques in the assessment of inflammatory bowel disease

T2 - new technology, new era

AU - Iacucci, Marietta

AU - Furfaro, Federica

AU - Matsumoto, Takayuki

AU - Uraoka, Toshio

AU - Smith, Samuel

AU - Ghosh, Subrata

AU - Kiesslich, Ralf

N1 - © Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2019/3

Y1 - 2019/3

N2 - Endoscopic assessment of inflammation and mucosal healing is crucial for appropriate management in IBD. Current definition of endoscopic mucosal healing has been derived using previous generation of standard white light endoscopes. New endoscopy technologies widely available provide much more detailed images of mucosal and vascular patterns. Novel endoscopic techniques with high definition image, optical and digital enhancement have enhanced the quality and fine details of vascular and mucosal pattern so that endoscopic images have started to reflect histological changes for lesions and inflammation/healing. These technologies can now define subtle inflammatory changes and increase detection and characterisation of colonic lesions in patients with IBD. The best endoscopic technique to detect dysplasia in IBD is still debated. Dye chromoendoscopy with targeted biopsies is considered by Surveillance for Colorectal Endoscopic Neoplasia Detection and Management in inflammatory Bowel Disease Patients: International Consensus Recommendations (SCENIC consensus the standard of care and recommended for adoption by gastroenterologists in practice. In future, it is possible that well-trained colonoscopists using high definition equipment with image enhancements may be able to obtain equivalent yield without pan-colonic dye spraying and characterise lesions. Finally, SCENIC introduced endoscopic resectability of some dysplastic colonic lesions-new techniques may now better characterise endoscopic resectability and limit the number of colectomies. In this review, we will provide a state-of-the-art opinion on the direction of technological advances in the assessment of IBD and how new concepts will refine clinical practice.

AB - Endoscopic assessment of inflammation and mucosal healing is crucial for appropriate management in IBD. Current definition of endoscopic mucosal healing has been derived using previous generation of standard white light endoscopes. New endoscopy technologies widely available provide much more detailed images of mucosal and vascular patterns. Novel endoscopic techniques with high definition image, optical and digital enhancement have enhanced the quality and fine details of vascular and mucosal pattern so that endoscopic images have started to reflect histological changes for lesions and inflammation/healing. These technologies can now define subtle inflammatory changes and increase detection and characterisation of colonic lesions in patients with IBD. The best endoscopic technique to detect dysplasia in IBD is still debated. Dye chromoendoscopy with targeted biopsies is considered by Surveillance for Colorectal Endoscopic Neoplasia Detection and Management in inflammatory Bowel Disease Patients: International Consensus Recommendations (SCENIC consensus the standard of care and recommended for adoption by gastroenterologists in practice. In future, it is possible that well-trained colonoscopists using high definition equipment with image enhancements may be able to obtain equivalent yield without pan-colonic dye spraying and characterise lesions. Finally, SCENIC introduced endoscopic resectability of some dysplastic colonic lesions-new techniques may now better characterise endoscopic resectability and limit the number of colectomies. In this review, we will provide a state-of-the-art opinion on the direction of technological advances in the assessment of IBD and how new concepts will refine clinical practice.

KW - chronic diarrhoea

KW - endoscopy

KW - functional bowel disorder

UR - http://www.scopus.com/inward/record.url?eid=2-s2.0-85059078265&partnerID=MN8TOARS

U2 - 10.1136/gutjnl-2017-315235

DO - 10.1136/gutjnl-2017-315235

M3 - Review article

C2 - 30580249

VL - 68

SP - 562

EP - 572

JO - Gut

JF - Gut

SN - 0017-5749

IS - 3

ER -