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Current Endoscopic Scoring Systems in Inflammatory Bowel Disease: Strengths and Limitations

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510687 DOI: 10.1016/j.giec.2024.04.014

There are several available endoscopic scoring systems that are designed to assess disease activity in inflammatory bowel disease. The most widely known is the Mayo endoscopic subscore for ulcerative colitis. These schemas are not routinely used in clinical practice, largely due to their complexity or lack of granularity, although they …

Advanced Endoscopic Imaging to Predict Clinical Outcomes in Inflammatory Bowel Disease

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510688 DOI: 10.1016/j.giec.2024.05.001

Advanced endoscopic imaging including high-definition endoscopy, confocal laser endomicroscopy (CLE) and endocytoscopy (EC) serve as an adjunct to predict clinical outcomes in inflammatory bowel disease (IBD). CLE can identify gut barrier dysfunction which correlates with disease behavior and long-term disease outcome. EC allows the assessment of histologic activity. Future controlled …

Automated Endoscopic Diagnosis in IBD: The Emerging Role of Artificial Intelligence

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510689 DOI: 10.1016/j.giec.2024.04.012

The emerging role of artificial intelligence (AI) in automated endoscopic diagnosis represents a significant advancement in managing inflammatory bowel disease (IBD). AI technologies are increasingly being applied to endoscopic imaging to enhance the diagnosis, prediction of severity, and progression of IBD and dysplasia-associated colitis surveillance. These AI-assisted endoscopy aim to …

Role of Endoscopic Ultrasound in the Diagnosis and Management of Complications of Inflammatory Bowel Disease

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510690 DOI: 10.1016/j.giec.2024.07.005

Inflammatory bowel disease-related complications are associated with a decreased quality of life, requirement for surgery, and increased morbidity. Endoscopic ultrasound (EUS) is accurate at identifying and characterizing perianal fistulae and abscesses and helps guide treatment decisions. EUS also allows us to accurately assess for mucosal and transmural inflammation and thus …

Molecular Imaging: The New Frontier for Endoscopic Diagnosis and Personalization in Inflammatory Bowel Disease

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510691 DOI: 10.1016/j.giec.2024.09.002

Molecular endoscopy in inflammatory bowel disease (IBD) has made the translation from preclinical studies to clinical trials. The so far performed in vivo studies, using fluorescent antibodies, have addressed areas of heightened clinical interest with unmet needs. These include the distribution of targeted therapies within the mucosa, which could elucidate …

Endoscopy in Special Situations in Inflammatory Bowel Disease: Acute Colitis, Pregnancy, and Pediatrics

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510692 DOI: 10.1016/j.giec.2024.04.006

Endoscopy for a hospitalized patient with acute severe ulcerative colitis should be limited to flexible sigmoidoscopy. If, during pregnancy, inflammatory bowel disease (IBD) is active or if a new diagnosis of IBD is suspected, endoscopy may be needed to guide medical decision-making. The determination to proceed with endoscopy during pregnancy …

Device-Assisted Enteroscopy in Inflammatory Bowel Disease: From Balloon Enteroscopy to Motorized Spiral Enteroscopy

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510693

No Abstract

Capsule Endoscopy in Inflammatory Bowel Disease: Evolving Role and Recent Advances

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510694

No Abstract

Updates on Endoscopic Diagnosis in Inflammatory Bowel Disease: From White Light to Molecular Imaging

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510695

No Abstract

Cutting-Edge Endoscopic Innovations in Inflammatory Bowel Disease Diagnosis: From White Light to Molecular Imaging

Publication Year: 2025 Source: Gastrointest Endosc Clin N Am PMID: 39510696

No Abstract

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