Abstract:
:The concept of remission for patients with inflammatory bowel diseases has recently evolved, and should also include histological healing of the mucosa, difficult to evaluate since there is no agreement on pathological scores and those available are quite complex to use in the daily routine. We evaluated the possible usefulness of a simplified pathological score to assess histological healing of the mucosa in inflammatory bowel diseases patients compared with four commonly proposed pathological scores. Slides from 24 patients (12 Crohn's disease, 12 ulcerative colitis, age range 24-62 years), pre- and post-treatment with biological agents and displaying endoscopic remission were assessed by two pathologists. Pre- and post-treatment results and the time employed to calculate the various scores were obtained. All scores were useful to document highly significant post-treatment decreases of histological activity. However, the simplified score needed significant less time to be calculated for each slide, had high inter-rater agreement, and avoided subjectivity from the pathologists. The simplified score is easy to calculate and seems apt to document histological healing of the mucosa, in a manner similar to the more complex scores. It remains to be established whether this score could simplify the daily routinary practice in this context.
journal_name
Sci Repjournal_title
Scientific reportsauthors
Villanacci V,Antonelli E,Lanzarotto F,Bozzola A,Cadei M,Bassotti Gdoi
10.1038/s41598-017-07338-xsubject
Has Abstractpub_date
2017-07-28 00:00:00pages
6839issue
1issn
2045-2322pii
10.1038/s41598-017-07338-xjournal_volume
7pub_type
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