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Endoscopic evaluation of surgically altered bowel in inflammatory bowel disease: a consensus guideline from the Global Interventional Inflammatory Bowel Disease Group. | LitMetric

AI Article Synopsis

  • Many people with Crohn's disease or ulcerative colitis might need surgery even with new treatments available.
  • Common surgeries include removing parts of the intestines or creating new ways for waste to leave the body.
  • Doctors use special tools called endoscopes to closely check and treat problems in the intestines, but it can be tricky when the intestines have been changed by surgery.

Article Abstract

The majority of patients with Crohn's disease and a proportion of patients with ulcerative colitis will ultimately require surgical treatment despite advances in diagnosis, therapy, and endoscopic interventions. The surgical procedures that are most commonly done include bowel resection with anastomosis, strictureplasty, faecal diversion, and ileal pouch. These surgical treatment modalities result in substantial alterations in bowel anatomy. In patients with inflammatory bowel disease, endoscopy plays a key role in the assessment of disease activity, disease recurrence, treatment response, dysplasia surveillance, and delivery of endoscopic therapy. Endoscopic evaluation and management of surgically altered bowel can be challenging. This consensus guideline delineates anatomical landmarks and endoscopic assessment of these landmarks in diseased and surgically altered bowel.

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Source
http://dx.doi.org/10.1016/S2468-1253(20)30394-0DOI Listing

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