Skip to main content

Diagnostic and Therapeutic Role of Endoscopy

  • Chapter
  • 2120 Accesses

Part of the book series: Updates in Surgery ((UPDATESSURG))

Abstract

Over the past few decades, endoscopy has become an essential tool for the gastroenterologist treating patients with Crohn’s disease (CD). Indications for endoscopy in CD patients include a correct diagnosis (both endoscopic and histological), assessment of disease localization and activity, diagnosis of postoperative recurrence, evaluation of perianal disease, dilation of strictures, and surveillance in patients with long-standing colonic disease.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Zwas FR, Cirillo NW et al (1996) Colonic mucosa abnormalities associated with oral sodium phosphate solution. Gastrointest Endosc 43:463–466

    Article  CAS  PubMed  Google Scholar 

  2. Rejchrt S, Bures J et al (2004) A prospective, observational study of colonic mucosal abnormalities associated with orally administered sodium phosphate for colon cleansing before colonoscopy. Gastrointest Endosc May 59(6):651–654

    Article  Google Scholar 

  3. Kim B, Barnett JL et al (1995) Endoscopic and histological patchiness in treated ulcerative colitis. Am J Gastroenterol 94:3258–3262

    Article  Google Scholar 

  4. Bernstein CN, Shanahan F et al (1995) Patchiness of mucosal inflammation in treated ulcerative colitis: a prospective study. Gastrointest Endosc 42:132–237

    Article  Google Scholar 

  5. Okawa K, Aoki T et al (1998) Ulcerative colitis with skip lesions at the mouth of the appendix: a clinical study. Am J Gastroenterol 93:2405–2410

    Article  CAS  PubMed  Google Scholar 

  6. Byeon J-S, Yan S et al (2005) Clinical course of distal ulcerative colitis in relation to appendiceal orifice inflammation status. Inflamm Bowel Dis 11:366–371

    Article  PubMed  Google Scholar 

  7. Pera A, Bellando P et al (1987) Colonoscopy in inflammatory bowel disease. Diagnostic accuracy and proposal of an endoscopic score. Gastroenterology 92:181–185

    CAS  PubMed  Google Scholar 

  8. Witte AM, Veenendaal RA et al (1998) Crohn’s disease of the upper gastrointestinal tract: the value of endoscopic examination. Scand J Gastroenterol Suppl 225:100–105

    CAS  PubMed  Google Scholar 

  9. Theodossi A, Spiegelhalter DJ et al (1994) Observer variation and discriminatory value of biopsy features in inflammatory bowel disease. Gut 35:961–968

    Article  CAS  PubMed  Google Scholar 

  10. Kundhal PS, Stormon MO et al (2003) Gastric antral biopsy in the differentiation of pediatric colitides. Am J Gastroenterol 98:557–561

    Article  CAS  PubMed  Google Scholar 

  11. Decker GA, Loftus EV Jr et al (2001) Crohn’s disease of the esophagus: clinical features and outcomes. Inflamm Bowel Dis 7:113–119

    Article  CAS  PubMed  Google Scholar 

  12. Rutgeerts P, Onette E et al (1980) Crohn’s disease of the stomach and duodenum: a clinical study with emphasis on the value of endoscopy and endoscopic biopsies. Endoscopy 12:288–294

    Article  CAS  PubMed  Google Scholar 

  13. Nugent FW, Roy MA (1989) Duodenal Crohn’s disease: an analysis of 89 cases. Am J Gastroenterol 84:249–254

    CAS  PubMed  Google Scholar 

  14. Tobin JM, Sinha B et al (2001) Upper gastrointestinal mucosal disease in pediatric Crohn’s disease and ulcerative colitis: a blinded, controlled study. J Ped Gastroenterol Nutr 32:443–448

    Article  CAS  Google Scholar 

  15. Triester S, Leighton et al (2006) A meta-analysis of the yield of CE compared to other diagnostic modalities in patients with non-stricturing small bowel Crohn disease. Am J Gastroenterol 101:954–964

    Article  PubMed  Google Scholar 

  16. Spada C, Riccioni ME et al (2007) Patients with known small bowel stricture or with symptoms of small bowel obstruction secondary to Crohn’s disease should not perform video capsule endoscopy without being previously tested for small bowel patency. Am J Gastroenterol 102(7):1542–1543

    Article  PubMed  Google Scholar 

  17. Rutgeerts P, Vermeire S et al (2007) Mucosal healing in inflammatory bowel disease: impossible ideal or therapeutic target? Gut 56:453–455

    Article  CAS  PubMed  Google Scholar 

  18. Tytgat GNJ, Mulder GJJ et al (1988) Endoscopic lesions in Crohn’s disease early after ileocecal resection. Endoscopy 20:260–262

    Article  CAS  PubMed  Google Scholar 

  19. A Bourreille, M Jarry et al (2006) Wireless capsule endoscopy versus ileocolonoscopy for the diagnosis of postoperative recurrence of Crohn’s disease: a prospective study. Gut 55(7): 978–983

    Article  CAS  PubMed  Google Scholar 

  20. Schwartz DA, Wiersema MJ et al (2001) A comparison of endoscopic ultrasound, magnetic resonance imaging, and exam under anesthesia for evaluation of Crohn’s perianal fistulas. Gastroenterology 121(5):1064–1072

    Article  CAS  PubMed  Google Scholar 

  21. Spradlin NM, Wise PE et al (2008) Use of endoscopic ultrasound to guide combination medical and surgical therapy for patients with Crohn’s perianal fistulas. Am J Gastroenterol 103(10):2527–2535

    Article  PubMed  Google Scholar 

  22. Hassan C, Zullo A (2007) A systematic review: endoscopic dilatation in Crohn’s disease. Aliment Pharmacol Ther 26:1457–1464

    Article  CAS  PubMed  Google Scholar 

  23. Andreoli A, Cosintino R et al (2008) Endoscopic dilation of Crohn’s disease strictures: results of scheduled re-treatment. Gut 57(Suppl):P0690

    Google Scholar 

  24. Friedman S, Rubin PH et al (2008) Screening and surveillance colonoscopy in chronic Crohn’s colitis: results of a surveillance program spanning 25 years. Clin Gastroenterol Hepatol 6(9):993–998

    Article  PubMed  Google Scholar 

  25. Kiesslich R, Jung M (2002) Magnification endoscopy: does it improve mucosal surface analysis for the diagnosis of gastrointestinal neoplasias? Endoscopy 34:819–822

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Italia

About this chapter

Cite this chapter

Andreoli, A., Meddi, P., Pantanella, P., Tesi, A. (2010). Diagnostic and Therapeutic Role of Endoscopy. In: Tersigni, R., Prantera, C. (eds) Crohn’s Disease. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-1472-5_6

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-1472-5_6

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1471-8

  • Online ISBN: 978-88-470-1472-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics