Parra-Izquierdo Viviana, Gil-Parada Fabio Leonel, Juliao-Baños Fabian, Pavez-Ovalle Carolina, Otero-Regino William, Frías-Ordoñez Juan Sebastian, Tchekmedyian Asadur, Paredes-Méndez Juan Eloy, Dorelo Rodrigo, Ernest-Suárez Kenneth, Leites Madera Marcos, Galiano María Teresa, Pazos Ximena, Jara Alba María Luisa, Dias de Oliveira Carla María, Villa Ovalles Keyla, Queraz Rodrigo, Miranda María Carolina, Arango Molano Lázaro Antonio, Puentes Manosalva Fabian Eduardo, Zaltman Cyrla, Florez-Sarmiento Cristian, Flores Cristina, Andrade Zamora David, Fluxa Fernando, Veitia Guillermo
Gastroenterología, Reumatología, Hospital Internacional de Colombia. Bucaramanga, Colombia; Grupo de Inmunología Celular y Molecular (INMUBO), Universidad El Bosque. Bogotá, Colombia.
Gastroenterología y endoscopia digestiva, Clínica Universitaria Colombia. Bogotá, Colombia.
Rev Gastroenterol Peru. 2024 Apr-Jun;44(2):179-215.
Endoscopy plays a fundamental role in inflammatory bowel disease (IBD), and becomes essential in diagnosis, treatment monitoring, and detection and management of complications.
The Pan American Crohn's and Colitis Organization (PANCCO) and the Inter-American Society of Endoscopy (SIED) appointed 22 Latin American experts in IBD to develop a consensus study using the modified Delphi method, based on the best available evidence. A working group of 22 members from 9 countries identified 15 topics and formulated 98 statements, who participated in 2 rounds of voting. It was defined as agreement of ≥80% of experts for each statement.
After the voting of all the statements, 8 statements were obtained that did not reach 80% consensus among the participants, so the questions were reconsidered in the Coordinating Committee of the consensus with the participation of the expert reviewers of these questions and 7 final statements were voted again by all the experts in a second round and 1 was eliminated with consensus. After two rounds of voting, the experts reached consensus with literature review with the best available evidence, the most important issues were developed with scientific evidence supporting each of the statements around the topic of endoscopy in IBD.
Consensus statements were developed and based on the best available evidence about endoscopy in inflammatory bowel disease.
内镜检查在炎症性肠病（IBD）中发挥着重要作用，在诊断、治疗监测以及并发症的检测和管理方面变得至关重要。
泛美克罗恩病和结肠炎组织（PANCCO）以及美洲内镜学会（SIED）指定了22名拉丁美洲IBD专家，基于现有最佳证据，采用改良德尔菲法开展一项共识研究。来自9个国家的22名成员组成的工作组确定了15个主题并制定了98条陈述，这些成员参与了两轮投票。每条陈述达成≥80%专家的一致意见被定义为达成共识。
在对所有陈述进行投票后，有8条陈述在参与者中未达成80%的共识，因此在共识协调委员会中重新审议了这些问题，这些问题的专家评审员参与其中，7条最终陈述在第二轮由所有专家再次投票，1条陈述经协商一致被淘汰。经过两轮投票，专家们结合现有最佳证据进行文献综述达成了共识，围绕IBD内镜检查主题的每条陈述都有科学证据支持的最重要问题得以形成。
基于炎症性肠病内镜检查的现有最佳证据制定了共识陈述。
