![]() ![]() The advantages of it include its non-invasive character and its ability to view proximal and distal parts of the intestine, while important disadvantages include the inability of the tissue sampling procedure and significant rate of incomplete examinations. The introduction of endoscopy capsule in 2000 revolutionized the ability to visualize parts of the small intestine mucosa not classically achieved by the conventional endoscope. In 17% of patients (14/81), enteroscopy with double balloon failed to reach the lesion. The impact on subsequent conduct was 77% (33/43). The diagnostic yield was 79% (34/43 patients). Common indications for enteroscopy with double balloon in patients with suspected CD were abnormal endoscopic capsule or other image. The impact on clinical conduction was 82% (31/38). The diagnostic yield was 87% (33/38 patients). 23 analyzed 98 patients submitted to double balloon enteroscopy performed in 81 patients (38 with known CD and 43 with suspicion of CD). This score is simpler and has a good correlation with “Crohn’s disease index of severity” and low variability among observers.Īlthough colonoscopy is essential for the management of IBD, evaluation of most of the small intestine is not accessible to classical endoscopy other endoscopic techniques are being performed, especially in the evaluation of the small intestine, which are double-balloon (or single) enteroscopy and the endoscopic capsule 13, 20, 23. The stenoses were evaluated by the number and the possibility of being passed or not by the colonoscope ( Table 3). Ulcers were classified according to their size (diameter 0.1-0.5 cm, 0.5-2 cm, or >2 cm) the proportion of the ulcerated surface was expressed as a percentage (30%) as well as the proportion of the extent of the affected surface (75%). Each variable was scored from 0 to 3 on each follow-up. For the construction of this score, four variables were considered: ulcers, proportion of surface covered by ulcers, proportion of surface covered by other lesions and stenoses. European Review for Medical and Pharmacological Sciences14ĭaperno et al 8 carried out a study for the creation and validation of a simplified endoscopic score for CD evaluation. The role of endoscopy in inflammatory bowel disease. The objective of this study was to review the role of endoscopy in the evaluation, diagnosis and prognosis of IBD.įrom M. Thus, surveillance colonoscopy is important in detecting early-onset neoplastic lesions 4. Both present an increased incidence of colorectal carcinoma. The endoscopic appearance of IBD is not always sufficient to differentiate Crohn’s disease (CD) and ulcerative colitis (UC) however, there are some characteristics that favor one or the other diagnosis 16. The collection of material for histopathological analysis of all segments is mandatory, including macroscopically normal ones 1, 7, 17, 21, 24, 27. ![]() Initial endoscopic examination should thoroughly describe the characteristics of the lesions observed and must include the visualization of the terminal ileum, always remembering that colonoscopies performed in the course of some type of treatment may obscure the characteristics of the disease for differential diagnosis 12,17,19. Endoscopic evaluation, in particular mucosal and histological results of ileocolonic biopsies, is essential for the diagnosis of inflammatory bowel disease (IBD) 10, 11. ![]()
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