Ugljesić M
Klinika za gastroenterohepatologiju Institut za bolesti digestivnog sistema KCS, Beograd.
Acta Chir Iugosl. 2000;47(1-2):25-9.
Fiberoptic endoscopy is well established, safe and accurate for diagnosis and management of inflammatory bowel disease (IBD). Direct visualization of the mucosa and biopsy of suspected abnormalities are possible. The principal applications of endoscopy in IBD include discrimination of Crohn's disease from ulcerative colitis of o other inflammatory conditions (acute infectious colitis, chronic infections, microscopic colitis, ischemic/radiation colitis, colitis induced by NSAID), delineation of the sites of disease or extent, grading of endoscopic disease severity, and confirmation of complications such as stricture, fistula or mass. Finally, diagnosis of pouchitis, surveillance to detect precancer, or therapeutic interventions such as dilatation of strictures of electrocautery of bleeding sites are also important endoscopic applications.
纤维内镜检查在炎症性肠病（IBD）的诊断和管理方面已得到充分确立，安全且准确。可以直接观察黏膜并对可疑异常进行活检。内镜检查在IBD中的主要应用包括区分克罗恩病与其他炎症性疾病（急性感染性结肠炎、慢性感染、显微镜下结肠炎、缺血性/放射性结肠炎、非甾体抗炎药引起的结肠炎）的溃疡性结肠炎，确定疾病部位或范围，对内镜下疾病严重程度进行分级，以及确认诸如狭窄、瘘管或肿块等并发症。最后，诊断袋炎、监测以检测癌前病变，或诸如扩张狭窄部位或对出血部位进行电灼等治疗干预也是重要的内镜应用。
