Current Progress of Endoscopy in Inflammatory Bowel Disease: Colonoscopy
The diagnostic ability of colonoscopy has improved dramatically in the past decade. Recent progress of endoscopy is largely based on the advent and the diffusion of innovative endoscopic technology, such as high-definition endoscopes, image-enhancement modalities, and magnifying endoscopes. Advanced technology has enabled detailed observation of the mucosa and mucosal lesions. Not only at initial evaluation for inflammatory bowel disease, but also during the follow-up period, colonoscopy is widely used in order to assess response to treatment. For detailed endoscopic observation, an excellent quality of bowel cleansing is mandatory. Recent progress of colonoscopy in clinical practice of inflammatory bowel disease is described, with special regards to bowel preparation, advanced endoscopic equipments, detailed endoscopic diagnosis, differential diagnosis, follow-up, and cancer surveillance in IBD in Japan.
KeywordsColonoscopy High-definition endoscope Image-enhancement Bowel preparation Mucosal healing
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