| Theme |
Imaging modalities for IBD |
| Title |
Role of colonoscopy in inflammatory bowel disease |
| Author |
Shuji Kochi |
Division of Gastroenterology, Matsuyama Red Cross Hospital |
| Author |
Takayuki Matsumoto |
Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University |
| [ Summary ] |
Colonoscopy is a mandatory procedure for the diagnosis and assessment of disease activity, and treatment of inflammatory bowel disease (IBD). Recently, mucosal healing as determined by colonoscopy in patients with ulcerative colitis (UC) and Crohn's disease (CD) has come to be considered predictive of favorable outcomes for patients with these diseases. Surveillance colonoscopy may permit earlier detection of colorectal cancer and dysplastic lesions in patients with long term IBD. Diagnosis of pouchitis after proctocolectomy requires confirmation of characteristic endoscopic and histological abnormalities in the ileal pouch. Furthermore, colonoscopy has become the gold standard for diagnosis of post operative recurrence of CD. Endoscopic dilation of stenosis in CD patients is a technique for the management of accessible short strictures. Colonoscopy seems to show great promise for the management of IBD. |