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RESEARCH PRODUCT

Enhanced Endoscopy in Inflammatory Bowel Disease

Ralf Kiesslich

subject

medicine.medical_specialtymedicine.diagnostic_testbusiness.industryInflammatory Bowel Diseasesmedicine.diseaseInflammatory bowel diseaseChromoendoscopyEndoscopyEndoscopic imagingEndomicroscopyMedicineIn patientRadiologyColitisbusiness

description

Enhanced imaging technologies are of special importance in patients with inflammatory bowel diseases. Patients with long-lasting colitis face an increased cancer risk and neoplastic changes often evolve as subtle, multifocal, and flat lesions. Enhanced endoscopic imaging technologies enable better visualization of the mucosal architecture. These new available information can be used to better detect and characterize colorectal lesions. The better endoscopic judgment leads to more targeted biopsies and cancer detection can be facilitated. This new concept of “smart biopsies” is in particular important for screening purposes. Furthermore, the technique of endomicroscopy enables in vivo histology during ongoing endoscopy which can be used to improve cancer detection but also to increase our understanding of physiologic and pathophysiologic changes in IBD.

https://doi.org/10.1007/978-1-4614-0998-4_17