New endoscopic imaging techniques in surveillance of inflammatory bowel disease

World Journal of Gastrointestinal Endoscopy
Tommaso GabbaniVito Annese

Abstract

Endoscopy plays a crucial role in the management of inflammatory bowel disease (IBD). Advances imaging techniques allow visualization of mucosal details, tissue characteristics and cellular alteration. In particular chromoendoscopy, magnification endoscopy, confocal laser endomicroscopy and endocytoscopy seem to have the possibility to radically modify the approach to surveillance and decision making. Dye-based chromoendoscopy (DBC) and magnification chromoendoscopy improve detection of dysplasia, and evaluation of inflammatory activity and extension of ulcerative colitis and are thus considered the standard of care. Dye-less chromoendoscopy could probably replace conventional DBC for surveillance. Narrow band imaging and i-scan have shown to improve activity and extent assessment in comparison to white-light endoscopy. Confocal laser endomicroscopy (CLE) can detect more dysplastic lesions in surveillance colonoscopy and predict neoplastic and inflammatory changes with high accuracy compared to histology. This technology is best used in conjunction with chromoendoscopy, narrow-band imaging, or autofluorescence because of its minute scanning area. This combination is useful for appropriate tissue classification of mucosal lesion...Continue Reading

Citations

Sep 15, 2015·Expert Review of Gastroenterology & Hepatology·Gian Eugenio TontiniHelmut Neumann
Apr 17, 2016·Clinical Colorectal Cancer·Fornaro RosarioEnzo Andorno
Jun 23, 2016·IEEE Transactions on Biomedical Circuits and Systems·Ravi ShresthaKhan A Wahid
Dec 18, 2015·International Journal of Oncology·Shinichiro YoshiokaTakuji Torimura
Dec 30, 2016·Nanotechnology·Stefania BiffiSergio Murgia
Feb 1, 2019·Techniques in Coloproctology·D S KellerM Chand

❮ Previous
Next ❯

Related Concepts

Related Feeds

Barrett Esophagus

Barrett’s esophagus if a serious complication of gastroesophageal reflux disease during which the normal esophageal lining changes to tissue that resembles intestinal lining. Here is the latest research.

Related Papers

World Journal of Gastroenterology : WJG
Helmut NeumannJonas Mudter
Expert Review of Gastroenterology & Hepatology
Talat Bessissow, Raf Bisschops
Gastroenterology Research and Practice
Helmut NeumannMarkus F Neurath
Current Treatment Options in Gastroenterology
Joann Kwah, Francis A Farraye
© 2021 Meta ULC. All rights reserved