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Endoscopy in Inflammatory Bowel Disease, An Issue of Gastrointestinal Endoscopy Clinics of North America, Volume 26-4 (Hardcover)
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Endoscopy in Inflammatory Bowel Disease, An Issue of Gastrointestinal Endoscopy Clinics of North America, Volume 26-4 (Hardcover)
Series: The Clinics: Internal Medicine
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The field of inflammatory bowel disease has evolved in many ways.
The first has been the revolution in medical therapy for the
disease. With the advent of biologic therapy, the aspirational goal
of therapy has become mucosal healing. These medications have also
made it possible to avoid or delay surgery for ulcerative colitis
and Crohn's disease. Although non-invasive strategies such as MR or
CT enterography or stool-based assays are helpful, they have not
been able to replace the prognostic information provided by
endoscopy. Simultaneously, the quality and spectrum of tools
available to perform endoscopy has widened. High resolution
endoscopes are now the norm and are nearly as good as
chromoendoscopy for identifying dysplasia in ulcerative colitis
patients. Most gastroenterologists also perform dilations but do
not generally do this for patients with IBD. Finally, newer devices
such as enteroscopes, endoscopic ultrasound, and endomicroscopes
are being incorporated into the algorithms to diagnose and treat
complications of IBD. This issue highlights all of these advances
by the experts in their fields.
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