ASGE Interventional IBD: Management of Complications | March 2022-DEBATE: Virtual Hromoendoscopy is Better for Surveillance of Colitis-associated Neoplasia

DEBATE: Virtual Hromoendoscopy is Better for Surveillance of Colitis-associated Neoplasia

Video Transcription

Video Summary

In the video, Dr. Marietta Aiucci discusses the role of virtual chromatoscopy for surveillance of colorectal neoplasia. She mentions that while dichromatoscopy is the best technique, it is not widely adopted in practice due to barriers such as time consumption and training. However, studies have shown that there is no difference between dichromatoscopy and virtual chromatoscopy in detecting lesions in inflammatory bowel disease (IBD). The use of high definition white light endoscopy is also recommended. Different technologies such as PAMGET and virtual chromatoscopy can be used to characterize the lesions. Dr. Aiucci introduces the concept of the 5S classification to characterize IBD lesions. She also highlights the importance of optical enhancement and the use of new scopes with bright chromatoscopy and artificial intelligence for detection and diagnosis. She concludes by stating that virtual chromatoscopy with target biopsies is the standard of care, but eye definition colonoscopy with target biopsies may be the future, especially with the integration of artificial intelligence.

Asset Subtitle

Marietta Iacucci, MD, PhD, FASGE

Meta Tag

Audience Generalist

Disease Inflammatory Bowel Disease

Keywords

virtual chromatoscopy

colorectal neoplasia

dichromatoscopy

inflammatory bowel disease

high definition white light endoscopy