Rameshshanker Rajaratnam, Arebi Naila
Rajaratnam Rameshshanker, Naila Arebi, Department of Gastroenterology, St Mark's Hospital, Watford Road, London, HA1 3UJ, United Kingdom.
World J Gastrointest Endosc. 2012 Jun 16;4(6):201-11. doi: 10.4253/wjge.v4.i6.201.
Endoscopy plays an important role in the diagnosis and management of inflammatory bowel disease (IBD). It is useful to exclude other aetiologies, differentiate between ulcerative colitis (UC) and Crohn's disease (CD), and define the extent and activity of inflammation. Ileocolonoscopy is used for monitoring of the disease, which in turn helps to optimize the management. It plays a key role in the surveillance of UC for dysplasia or neoplasia and assessment of post operative CD. Capsule endoscopy and double balloon enteroscopy are increasingly used in patients with CD. Therapeutic applications relate to stricture dilatation and dysplasia resection. The endoscopist's role is vital in the overall management of IBD.
内镜检查在炎症性肠病（IBD）的诊断和管理中发挥着重要作用。它有助于排除其他病因，区分溃疡性结肠炎（UC）和克罗恩病（CD），并确定炎症的范围和活动程度。回结肠镜检查用于疾病监测，这反过来有助于优化管理。它在监测UC的发育异常或肿瘤形成以及评估术后CD方面起着关键作用。胶囊内镜和双气囊小肠镜在CD患者中的应用越来越多。治疗应用涉及狭窄扩张和发育异常切除。内镜医师的作用在IBD的整体管理中至关重要。
