Endoscopy in the Diagnosis and Management of Complications of Inflammatory Bowel Disease.

Abstract:

:The role of endoscopy in inflammatory bowel disease (IBD) has grown over the last decade in both diagnostic and therapeutic realms. It aids in the initial diagnosis of the disease and also in the assessment of the extent and severity of disease. IBD is associated with development of multiple complications such as strictures, fistulae, and colon cancers. Endoscopy plays a pivotal role in the diagnosis of colon cancer in patients with IBD through incorporation of chromoendoscopy for surveillance. In addition, endoscopic resection with surveillance is recommended in the management of polypoid dysplastic lesions without flat dysplasia. IBD-associated benign strictures with obstructive symptoms amenable to endoscopic intervention can be managed with endoscopic balloon dilation both in the colon and small intestine. In addition, endoscopy plays a major role in assessing the neoterminal ileum after surgery to risk-stratify patients after ileocolonic resection and assessment of a patient with ileoanal pouch anastomosis surgery and management of postsurgical complications. Our article summarizes the current evidence in the role of endoscopy in the diagnosis and management of complications of IBD.

journal_name

Inflamm Bowel Dis

authors

Tharian B,George N,Navaneethan U

doi

10.1097/MIB.0000000000000626

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

1184-97

issue

5

eissn

1078-0998

issn

1536-4844

journal_volume

22

pub_type

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