Clinical Gastroenterology Vol.23 No.11(5)

Theme Pit Pattern Classification in colorectal Lesion
Title Magnifying Colonoscopic Observation for Ulcerative Colitis
Publish Date 2008/10
Author Masaki Kunihiro Sixth Department of Internal Medicine, Hiroshima Red Cross Hospital & Atomic-Bomb Survivors Hospital / Department of Endoscopy and Gastroenterology, Hiroshima University Hospital
Author Shinji Tanaka Department of Endoscopy and Gastroenterology, Hiroshima University Hospital
Author Shiro Oka Department of Endoscopy and Gastroenterology, Hiroshima University Hospital
Author Masaru Shimamoto Department of Endoscopy and Gastroenterology, Hiroshima University Hospital
Author Yoshitaka Ueno Department of Endoscopy and Gastroenterology, Hiroshima University Hospital
Author Kazuaki Chayama Department of Endoscopy and Gastroenterology, Hiroshima University Hospital
[ Summary ] Colonoscopy plays an important role in the determination of disease activity and cancer surveillance in ulcerative colitis. Magnifying colonoscopic observation reflected histologic inflammation status more accurately than did standard colonoscopic findings. Magnifying colonoscopy is useful for determining the degree of histologic change and for the prediction of periods of remission without biopsy in patients with ulcerative colitis.
Furthermore, magnifying colonoscopy allows for the implementation of a new strategy using targeting biopsies for neoplastic lesions. This technique is useful for early detection and diagnosis of dysplasia and cancer. However, further studies of magnified views of UC associated neoplasia are required.
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