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Inflammatory Bowel Diseases pp 217–234Cite as

Colonoscopy in Inflammatory Bowel Disease

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Part of the book series: Developments in Gastroenterology ((DIGA,volume 3))

Abstract

Colonoscopy is an established procedure in the evaluation of patients with inflammatory bowel disease (IBD). The combination of direct inspection of the mucosa and the capability of taking multiple biopsies unquestionably improves the diagnostic possibilities. Despite the frequent combination of certain mucosal abnormalities with specific types of IBD, few of these endoscopic changes however, are diagnostically specific and overlap occurs regularly. This is mainly explained by a restricted reaction pattern to damage, of which the basic elements consist of edematous swelling, erythema, coating by mucoid or purulent exsudate, tiny superficial to serpiginous, linear or deep epithelial necrosis and ulceration, nodular disorganization, pseudopolyp formation, retraction, stricturing etc. The colonoscopist is often able to detect the presence of damage and inflammation, but regularly needs histology to specify the exact type of IBD.

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Author information

Authors and Affiliations

  1. Division of Gastroenterlogy, University of Amsterdam, Amsterdam, The Netherlands

    G. N. Tytgat, K. Huibregtse & J. F. W. M. Bartelsman

  2. Division of Gastroenterlogy, Free University, Amsterdam, The Netherlands

    S. Meuwissen

Authors
  1. G. N. Tytgat
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  2. S. Meuwissen
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  3. K. Huibregtse
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  4. J. F. W. M. Bartelsman
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Editor information

Editors and Affiliations

  1. Hebrew University-Hadassah Medical School, Jerusalem, Israel

    Daniel Rachmilewitz M.D. (Associate Professor of Medicine) (Associate Professor of Medicine)

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© 1982 Martinus Nijhoff Publishers, The Hague

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Tytgat, G.N., Meuwissen, S., Huibregtse, K., Bartelsman, J.F.W.M. (1982). Colonoscopy in Inflammatory Bowel Disease. In: Rachmilewitz, D. (eds) Inflammatory Bowel Diseases. Developments in Gastroenterology, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-7514-9_19

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  • DOI: https://doi.org/10.1007/978-94-009-7514-9_19

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-7516-3

  • Online ISBN: 978-94-009-7514-9

  • eBook Packages: Springer Book Archive

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