Abstract
Endoscopy has an important role in the management of gastrointestinal tract disease in Japan. Mucosal healing is a new goal of the management of inflammatory bowel disease (IBD). This has expanded the use of endoscopy. This chapter presents a review of the use of endoscopy for IBD in Japan. Surveillance colonoscopy with target biopsy for long-standing ulcerative colitis (UC) is advocated. A consensus statement has been developed for the diagnosis and management of intestinal Behçet’s disease (BD) in Japan, and adalimumab has been approved to treat BD based on the findings of a Japanese multicenter study. A patency capsule that does not have a radioactive tag has been developed for capsule endoscopy (CE). CE can also be used as an alternative to traditional endoscopy to identify small intestinal lesions in patients with UC. Balloon-assisted endoscopy (BAE) is the gold standard for small intestinal lesions, and is more sensitive than magnetic resonance (MR) imaging for detecting intestinal damage. Endoscopic balloon dilation for the removal of foreign bodies, including retained capsule endoscope, is also important. Endocytoscopy is a developing technology to assess inflammation, and endocytoscopic narrow band imaging is useful for evaluating the severity of UC.
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References
Hisabe T, Hirai F, Matsui T, et al. Evaluation of diagnostic criteria for Crohn’s disease in Japan. J Gastroenterol. 2014;49(1):93–9. doi:10.1007/s00535-013-0798-x.
Neurath MF, Travis SP. Mucosal healing in inflammatory bowel diseases: a systematic review. Gut. 2012;61:1619–35.
Yamamoto H, Sekine Y, Sato Y, et al. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc. 2001;53:216–20.
Iddan G, Meron G, Glukhovsky A, et al. Wireless capsule endoscopy. Nature. 2000;405:417.
Winawer S, Fletcher R, Rex D, et al. Colorectal cancer screening and surveillance: clinical guidelines and rationale—update based on new evidence. Gastroenterology. 2003;124:544–60.
Matsumoto T, Iwao Y, Igarashi M, et al. Endoscopic and chromoendoscopic atlas featuring dysplastic lesions in surveillance colonoscopy for patients with long-standing ulcerative colitis. Inflamm Bowel Dis. 2008;14:259–64.
Watanabe T, Ajioka Y, Matsumoto T, et al. Target biopsy or step biopsy? Optimal surveillance for ulcerative colitis: a Japanese nationwide randomized controlled trial. J Gastroenterol. 2011;46(Suppl 1):11–6.
Hisamatsu T, Ueno F, Matsumoto T, et al. The 2nd edition of consensus statements for the diagnosis and management of intestinal Behçet’s disease: indication of anti-TNFα monoclonal antibodies. J Gastroenterol. 2014;49:156–62.
Tanida S, Inoue N, Kobayashi K, et al. Adalimumab for the treatment of Japanese patients with intestinal Behçet’s disease. Clin Gastroenterol Hepatol. 2015;13:940–8.
Bourreille A, Ignjatovic A, Aabakken L, et al. Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus. Endoscopy. 2009;41:618–37.
Cave D, Legnani P, de Ranchis R, et al. ICCE consensus for capsule retention. Endoscopy. 2005;37:1065–7.
Cheifetz AS, Kornbluth AA, Legnani P, et al. The risk of retention of the capsule endoscope in patients with known or suspected Crohn’s disease. Am J Gastroenterol. 2006;101:2218–22.
Nakamura M, Hirooka Y, Yamamura T, et al. Clinical usefulness of novel tag-less agile patency capsule prior to capsule endoscopy for patients with suspected small bowel stenosis. Dig Endosc. 2015;27:61–6.
Hisabe T, Ninomiya K, Matsui T, et al. Small bowel lesions detected with wireless capsule endoscopy in patients with active ulcerative colitis and with post-proctocolectomy. Dig Endosc. 2011;23:302–9.
Higurashi T, Endo H, Yoneda M, et al. Capsule–endoscopic findings of ulcerative colitis patients. Digestion. 2011;84:306–14.
Hosoe N, Matsuoka K, Naganuma M, et al. Applicability of second generation colon capsule endoscope to ulcerative colitis: a clinical feasibility study. J Gastroenterol Hepatol. 2013;28:1174–9.
Takenaka K, Ohtsuka K, Kitazume Y, et al. Comparison of magnetic resonance and balloon enteroscopic examination of the small intestine in patients with Crohn’s disease. Gastroenterology. 2014;147:334–42.
Hirai F, Beppu T, Sou S, et al. Endoscopic balloon dilatation using double-balloon endoscopy is a useful and safe treatment for small intestinal strictures in Crohn’s disease. Dig Endosc. 2010;22:200–4.
Hirai F, Beppu T, Takatsu N, et al. Long-term outcome of endoscopic balloon dilation for small bowel strictures in patients with Crohn’s disease. Dig Endosc. 2014;26:545–51.
Uchida K, Yoshiyama S, Inoue M, et al. Double balloon enteroscopy for pediatric inflammatory bowel disease. Pediatr Int. 2012;54:806–9.
Bessho R, Kanai T, Hosoe N, et al. Correlation between endocytoscopy and conventional histopathology in microstructural features of ulcerative colitis. J Gastroenterol. 2011;46:1197–202.
Maeda Y, Ohtsuka K, Kudo S, et al. Endocytoscopic narrow-band imaging efficiency for evaluation of inflammatory activity in ulcerative colitis. World J Gastroenterol. 2015;21:2108–15.
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Watanabe, M. (2018). Endoscopy in Inflammatory Bowel Disease: Asian Perspectives with Respect to Japan. In: Hibi, T., Hisamatsu, T., Kobayashi, T. (eds) Advances in Endoscopy in Inflammatory Bowel Disease. Springer, Tokyo. https://doi.org/10.1007/978-4-431-56018-0_23
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DOI: https://doi.org/10.1007/978-4-431-56018-0_23
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