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炎症性肠病的内镜评估:结肠镜检查/食管胃十二指肠镜检查。

Endoscopic assessment of inflammatory bowel disease: colonoscopy/esophagogastroduodenoscopy.

机构信息

Gastroenterology Department, Connolly Hospital Blanchardstown, Dublin, Republic of Ireland.

出版信息

Gastroenterol Clin North Am. 2012 Jun;41(2):271-90. doi: 10.1016/j.gtc.2012.01.014.

Abstract

Endoscopy plays an important role in the initial diagnosis of IBD, including the evaluation of disease severity, activity, and extent. The implications of complete mucosal healing further confirm the function of endoscopy in the follow-up of IBD patients. The use of therapeutic endoscopy, for example stricture dilatation, can avoid the need for bowel resection. Modalities such as capsule endoscopy, EUS, NBI, CE, and other emerging techniques are likely to have an increasing role in the management of IBD, particularly in the area of dysplasia surveillance and treatment.

摘要

内镜检查在 IBD 的初步诊断中起着重要作用,包括评估疾病的严重程度、活动度和范围。黏膜完全愈合的意义进一步证实了内镜在 IBD 患者随访中的作用。治疗性内镜的应用,如狭窄扩张,可以避免肠切除的需要。胶囊内镜、EUS、NBI、CE 等新兴技术可能在 IBD 的管理中发挥越来越重要的作用,特别是在异型增生监测和治疗方面。

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