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Endoscopy in Inflammatory Bowel Disease: A South Asian Perspective from India

  • Amarender Singh PuriEmail author
Chapter

Abstract

Inflammatory bowel disease is an emerging problem in India with a relatively high prevalence rate, especially in the northern parts of the country. In line with other Asian data, ulcerative colitis is far more prevalent than Crohn’s disease in India. Endoscopy services in India are still restricted to metropolitan areas and larger cities, with very limited availability in the smaller cities. Availability of colonoscopy has been one of the major factors responsible for the paradigm shift in the recognition of IBD and its differentiation from intestinal tuberculosis in India. Therapeutic endoscopy as a non-surgical treatment modality for IBD is restricted to a few centers in the country. Colorectal carcinoma occurs at a much lower rate in patients with or without IBD possibly due to the low consumption of red meat in India. For this reason, guidelines for surveillance colonoscopy in patients with ulcerative colitis are not practiced routinely in most centers. Procedures such as chromoendoscopy and endoscopic submucosal dissection are still in their infancy in India. With greater numbers of IBD patients expected in the future, there is a dire need to improve the existing status of endoscopic and colonoscopic services in the country.

Keywords

Inflammatory bowel disease Intestinal tuberculosis Ulcerative colitis Crohn’s disease 

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Copyright information

© Springer Japan 2018

Authors and Affiliations

  1. 1.Department of GastroenterologyGB Pant Institute of Medical Education and ResearchNew DelhiIndia

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