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Evolving role of endoscopy in inflammatory bowel disease:Going beyond diagnosis

World Journal of Gastroenterology 2021年第20期27卷 2521-2530页

作者： Paulina Núñez F noa krugliak cleveland Rodrigo Quera David T Rubin Department of Gastroenterology Inflammatory Bowel Disease ProgramClinica Universidad de los AndesSantiago 7620157RMChile Department of Gastroenterology Hospital San Juan de DiosSantiago 8350488RMChile University of Chicago Medicine Inflammatory Bowel Disease Center ChicagoIL 60637United States

Inflammatory bowel disease,encompassing Crohn’s disease(CD)and ulcerative colitis,are chronic immune-mediated inflammatory bowel diseases(IBD)that primarily affect the gastrointestinal tract with periods of activity and *** body of evidence exist to strengthen the prognostic role of endoscopic evaluation for both disease activity and severity and it remains the gold standard for the assessment of mucosal *** healing has been associated with improved clinical outcomes with prolonged remission,decreased hospitalization,IBD-related surgeries and colorectal cancer ***,endoscopic objectives in IBD have been incorporated as part of standard *** the known increased risk of colorectal cancer in IBD,although prevention strategies continue to develop,regular surveillance for early detection of neoplasia continue to be paramount in IBD patients’*** is thanks to evolving technology and visualization techniques that surveillance strategies are continuously *** endoscopic options in IBD have also been expanding,from surgery sparing therapies such as balloon dilation of fibrostenotic strictures in CD to endoscopic mucosal resection of neoplastic *** this review article,we discuss the current evidence on the use of endoscopy as part of standard of care of IBD,its role in surveillance of neoplasia,and the role of interventional endoscopic therapies.

关键词： Inflammatory bowel disease Endoscopy Crohn’s disease Ulcerative colitis Therapeutic endoscopy Surveillance

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