ASGE Annual Postgraduate Course Endoscopy 2022 (On-Demand): Breakthrough to Excellence-Farraye ASGE Interpretation IBD

Farraye ASGE Interpretation IBD

Pdf Summary

This document discusses the identification and interpretation of mucosal disease activity and dysplasia in inflammatory bowel disease (IBD). It emphasizes the role of endoscopy in diagnosing and assessing disease activity in IBD patients. The document highlights the importance of using standardized classification systems, such as the Montreal classification, to classify the extent of disease in both ulcerative colitis (UC) and Crohn's disease (CD). It also suggests including descriptors in endoscopy reports to aid in clinical decision making.<br /><br />The document introduces various endoscopic scoring systems, including the Mayo, SES-CD, and Rutgeerts scores, which can be used to assess disease activity in patients with IBD. It explains how these scores are used to evaluate the severity of mucosal inflammation and the degree of ulceration and involvement in different bowel segments.<br /><br />The document also discusses the identification and management of dysplasia in IBD patients. It states that dysplasia in IBD can often be seen during endoscopy using high-definition white-light colonoscopy or image-enhanced endoscopy. The correct nomenclature for describing colorectal lesions in IBD is provided, including the modified Paris Classification. The document emphasizes the importance of thorough documentation of the characteristics of colonic lesions, such as size, morphology, and presence of ulceration.<br /><br />The document suggests that endoscopists should use HD colonoscopes and consider dye-based chromoendoscopy or virtual chromoendoscopy for surveillance colonoscopy in high-risk patients. It also mentions the use of artificial intelligence (AI) technology to assist in characterizing disease severity and identifying dysplasia.<br /><br />In conclusion, the document highlights the significance of endoscopy in the diagnosis, assessment, and management of IBD. It emphasizes the use of standardized classification systems, thorough documentation of endoscopic findings, and the potential role of AI technology in the future.

Keywords

mucosal disease activity

dysplasia

inflammatory bowel disease

endoscopy

disease activity

Montreal classification

ulcerative colitis

Crohn's disease

endoscopic scoring systems

colorectal lesions