Publication

[Modern endoscopy in inflammatory bowel disease].

Journal Paper/Review - Dec 1, 2023

Units
PubMed
Contact

Citation
Truniger S, Frei R, Brand S. [Modern endoscopy in inflammatory bowel disease]. Ther Umsch 2023; 80:411-416.
Type
Journal Paper/Review (Deutsch)
Journal
Ther Umsch 2023; 80
Publication Date
Dec 1, 2023
Issn Print
0040-5930
Pages
411-416
Brief description/objective

Endoscopic examinations play a very important role in the diagnosis, progress assessment, and therapy of inflammatory bowel diseases (IBD). This includes not only esophagogastroduodenoscopy, sigmoidoscopy, and ileo-colonoscopy, but also assessment of the small intestine. The work-up of the small intestine is primarily carried out using non-invasive techniques (intestinal ultrasound, magnetic resonance enterography (MRE)). However, if the diagnosis remains unclear, a histological proof is necessary or an endoscopic intervention is required, capsule endoscopy and balloon-assisted enteroscopy are used. Furthermore, endoscopic ultrasound is available to assess perianal fistulizing Crohn's disease, and ERCP (endoscopic retrograde cholangiopancreatography) is used in certain patients with IBD-associated primary sclerosing cholangitis (PSC). Given the high resolution of modern endoscopes and the availability of chromoendoscopy, dysplastic lesions are detected earlier and can often be resected endoscopically. In addition, short strictures/stenoses can be treated using balloon dilatations.