ASGE Interventional IBD: Management of Complications (On-Demand)| 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 this video, Dr. Marietta Aiucci discusses the role of virtual chromoendoscopy in the surveillance of colorectal neoplasia, particularly in patients with inflammatory bowel disease (IBD). She presents various studies and surveys that compare the effectiveness of different endoscopic techniques, such as dichrochromoendoscopy, virtual chromoendoscopy, and high-definition white light endoscopy, in detecting and characterizing dysplasia in IBD patients. While dichrochromoendoscopy has been recommended as the standard of care, the adoption of this technique in clinical practice has been limited due to issues like time consumption and variability in practice. However, recent studies have shown no significant difference between dichrochromoendoscopy and virtual chromoendoscopy in detecting lesions in IBD. Dr. Aiucci suggests that high-definition white light endoscopy, particularly with the use of new scopes that offer bright optical enhancement and virtual chromoendoscopy capabilities, may be the future of surveillance in IBD patients. She also discusses the use of artificial intelligence in detecting and characterizing lesions, as well as guiding therapy. The video concludes by highlighting the importance of using standardized terminology and optical enhancement techniques in order to improve detection and guide personalized therapy for IBD patients.

Asset Subtitle

Marietta Iacucci, MD, PhD, FASGE

Meta Tag

Audience Generalist

Disease Inflammatory Bowel Disease

Keywords

virtual chromoendoscopy

colorectal neoplasia

inflammatory bowel disease

dichrochromoendoscopy

high-definition white light endoscopy