Division of Gastroenterology and Hepatology, University of Pennsylvania, Philadelphia, Pennsylvania.
Mayo Clinic Florida, Jacksonville, Florida.
Clin Gastroenterol Hepatol. 2024 Nov;22(11):2188-2196. doi: 10.1016/j.cgh.2024.06.048. Epub 2024 Sep 20.
Endoscopic scoring systems evaluate the severity of inflammation and provide objectivity, uniformity, and standardization of reporting of mucosal appearances in patients with inflammatory bowel disease; thus, they have been advised for assessing the efficacy of medical treatment and prognosis. This American Gastroenterological Association (AGA) Clinical Practice Update Expert Commentary aims to review the utilized endoscopic scoring systems and their role in assessing mucosal healing in inflammatory bowel disease and the practical challenges in their applications, as well as to discuss the future of endoscopic scoring systems.
This expert commentary was commissioned and approved by the AGA Institute Clinical Practice Updates Committee and the AGA Governing Board to provide timely guidance on a topic of high clinical importance to the AGA membership and underwent internal peer review by the Clinical Practice Updates Committee and external peer review through standard procedures of Clinical Gastroenterology and Hepatology.
RESULTS/CONCLUSION: This expert commentary incorporates essential studies in this field and reflects the authors' expertise in the endoscopic evaluation of inflammatory bowel disease.
内镜评分系统评估炎症的严重程度，为炎症性肠病患者的黏膜表现提供客观性、一致性和标准化的报告；因此，它们被建议用于评估药物治疗的疗效和预后。本美国胃肠病学会（AGA）临床实践更新专家评论旨在回顾现有的内镜评分系统及其在评估炎症性肠病黏膜愈合中的作用，以及在应用中面临的实际挑战，并讨论内镜评分系统的未来。
本专家评论由 AGA 研究所临床实践更新委员会和 AGA 理事会委托和批准，旨在就 AGA 会员高度关注的具有重要临床意义的主题提供及时的指导，并通过临床实践更新委员会的内部同行评审和临床胃肠病学和肝脏病学的标准程序进行外部同行评审。
结果/结论：本专家评论纳入了该领域的重要研究，并反映了作者在炎症性肠病内镜评估方面的专业知识。
