Kim Eun Soo
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
Clin Endosc. 2017 Sep;50(5):424-428. doi: 10.5946/ce.2017.143. Epub 2017 Sep 29.
Endoscopy plays a crucial role in the management of inflammatory bowel disease (IBD) in terms of diagnosis, monitoring of mucosal status, and surveillance of colitis-associated neoplasia. Mucosal healing evaluated by endoscopy has been recognized as the target of treatment in the era of powerful biologics therapy. The optimal modality for identifying dysplasia in IBD has yet to be well defined. Increasing progress has recently been made in endoscopic technologies to more accurately assess mucosal inflammation and more effectively detect dysplasia. Here we review the data of advanced endoscopic imaging techniques such as chromoendoscopy, virtual chromoendoscopy, endocytoscopy, and confocal laser endomicroscopy in the management of IBD.
在内镜检查在炎症性肠病(IBD)的管理中,在诊断、监测黏膜状态以及监测结肠炎相关肿瘤方面发挥着关键作用。在内镜检查评估的黏膜愈合已被认为是强效生物制剂治疗时代的治疗目标。用于识别IBD发育异常的最佳方式尚未明确界定。最近在内镜技术方面取得了越来越大的进展,以便更准确地评估黏膜炎症并更有效地检测发育异常。在此,我们回顾了诸如色素内镜检查、虚拟色素内镜检查、细胞内镜检查和共聚焦激光显微内镜检查等先进内镜成像技术在IBD管理中的数据。