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Recent trends in diagnostic techniques for inflammatory bowel disease

Takanori Kanai|Naoki Hosoe|Haruhiko Ogata|Makoto Naganuma
대한내과학회 (The Korean Association Of Internal Medicine)|2015.05|The Korean Journal of Internal Medicine|제30권 제3호|pp. 271-278|DOI http://dx.doi.org/10.3904/kjim.2015.30.3.271

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키워드

ColitisulcerativeCrohn diseaseCapsule endoscopyMagnetic resonance enterographyMagnification colonoscopy
주제분류내과학

초록

Although ileocolonoscopy is the gold standard for diagnosis of inflammatory bowel disease and is useful for assessing the disease severity in the colon and terminal ileum, several alternative diagnostic techniques have been developed recently. For ulcerative colitis (UC), magnification colonoscopy, endocytoscopy, and confocal laser endomicroscopy enable assessment of histological inflammation without the need for biopsy. Capsule endoscopy is useful for detection of small intestinal and colonic lesions in both female and male patients. For UC, capsule endoscopy may be useful for evaluating colonic inflammation in patients with a previous poor colonoscopy experience, while it should be used only in Crohn’s disease (CD) patients with unexplained symptoms when other examinations are negative. Magnetic resonance enterography (MRE) is particularly useful for detecting transmural inflammation, stenosis, and extraintestinal lesions, including abscesses and fistulas. MRE is also useful when evaluating small and large intestinal lesions, even in cases with severe strictures in which full evaluation of the small bowel would be virtually impossible using other devices. Therefore, the appropriate diagnostic devices for detecting CD lesions in the small and large intestine should be used.

Abstract

Although ileocolonoscopy is the gold standard for diagnosis of inflammatory bowel disease and is useful for assessing the disease severity in the colon and terminal ileum, several alternative diagnostic techniques have been developed recently. For ulcerative colitis (UC), magnification colonoscopy, endocytoscopy, and confocal laser endomicroscopy enable assessment of histological inflammation without the need for biopsy. Capsule endoscopy is useful for detection of small intestinal and colonic lesions in both female and male patients. For UC, capsule endoscopy may be useful for evaluating colonic inflammation in patients with a previous poor colonoscopy experience, while it should be used only in Crohn’s disease (CD) patients with unexplained symptoms when other examinations are negative. Magnetic resonance enterography (MRE) is particularly useful for detecting transmural inflammation, stenosis, and extraintestinal lesions, including abscesses and fistulas. MRE is also useful when evaluating small and large intestinal lesions, even in cases with severe strictures in which full evaluation of the small bowel would be virtually impossible using other devices. Therefore, the appropriate diagnostic devices for detecting CD lesions in the small and large intestine should be used.

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관련 논문AI추천

Colon Capsule Endoscopy for Inflammatory Bowel DiseaseHaruhiko Ogata, Naoki Hosoe, Yukie Hayashi대한소화기내시경학회 · Clinical Endoscopy2020 · 제53권 제5호A Look into the Small Bowel in Crohn’s Disease김원호, 박수정대한소화기내시경학회 · Clinical Endoscopy2012 · 제45권 제3호Effectiveness of Capsule Endoscopy Compared with Other Diagnostic Modalities in Patients with Small Bowel Crohn’s Disease: A Meta-Analysis심기남, 이선희, 임성운, 최명규, 최미영거트앤리버 소화기연관학회협의회 · Gut and Liver2017 · 제11권 제1호Role of Advanced Endoscopic Imaging Techniques in the Management of Inflammatory Bowel Disease김은수대한소화기내시경학회 · Clinical Endoscopy2017 · 제50권 제5호Advances in the Endoscopic Assessment of Inflammatory Bowel Diseases: Cooperation between Endoscopic and Pathologic Evaluations천재희대한병리학회 · Journal of Pathology and Translational Medicine2015 · 제49권 제3호Optimal Diagnostic Approaches for Patients with Suspected Small Bowel Disease문원, 김재현대한소화기내시경학회 · Clinical Endoscopy2016 · 제49권 제4호

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