Endoscopic evaluation of surgically altered bowel in inflammatory bowel disease: a consensus guideline from the Global Interventional Inflammatory Bowel Disease Group.

Bo Shen, Gursimran S Kochhar, Udayakumar Navaneethan, Raymond K Cross, Francis A Farraye, Marietta Iacucci, David A Schwartz, Yago Gonzalez-Lama, Jason Schairer, Ravi P Kiran, Paulo Gustavo Kotze, Taku Kobayashi, Martin Bortlik, Xiuli Liu, Alexander N Levy, Begoña González Suárez, Shou-Jiang Tang, Nayantara Coelho-Prabhu, Martin Lukas, David H Bruining, Sandra El-Hachem, Roger J Charles, Yan Chen, Ajit Sood, Ren Mao, Carme Loras, Parambir S Dulai, Joseph A Picoraro, Michael Chiorean, Milan Lukas, Amandeep Shergill, Mark S Silverberg, William J Sandborn, Charles N Bernstein

Journal: The lancet. Gastroenterology & hepatology 2021;6(6):482-497

PMID: 33872568

Abstract

The majority of patients with Crohn's disease and a proportion of patients with ulcerative colitis will ultimately require surgical treatment despite advances in diagnosis, therapy, and endoscopic interventions. The surgical procedures that are most commonly done include bowel resection with anastomosis, strictureplasty, faecal diversion, and ileal pouch. These surgical treatment modalities result in substantial alterations in bowel anatomy. In patients with inflammatory bowel disease, endoscopy plays a key role in the assessment of disease activity, disease recurrence, treatment response, dysplasia surveillance, and delivery of endoscopic therapy. Endoscopic evaluation and management of surgically altered bowel can be challenging. This consensus guideline delineates anatomical landmarks and endoscopic assessment of these landmarks in diseased and surgically altered bowel.

Copyright © 2021 Elsevier Ltd. All rights reserved.

Address: Center for Interventional Inflammatory Bowel Disease, Columbia University Irving Medical Center, New York Presbyterian Hospital, NY, USA. Electronic address: [email protected].; Division of Gastroenterology, Hepatology, and Nutrition, Allegheny Health Network, Pittsburgh, PA, USA.; IBD Center and IBD Interventional Unit, Digestive Health Institute, Orlando Health, Orlando, FL, USA.; Inflammatory Bowel Disease Program, University of Maryland School of Medicine, Maryland, MD, USA.; Department of Gastroenterology, Mayo Clinic Jacksonville, Jacksonville, FL, USA.; Institute of Immunology and Immunotherapy, NIHR Birmingham Biomedical Research Centre, University Hospitals NHS Foundation Trust, University of Birmingham, UK.; Department of Gastroenterology, Vanderbilt University Medical Center, Nashville, TN, USA.; IBD Unit, Gastroenterology and Hepatology Department, Hospital Universitario Puerta de Hierro, Madrid, Spain.; Department of Gastroenterology, Henry Ford Hospital, Detroit, MI, USA.; Division of Colorectal Surgery, Columbia University Irving Medical Center, New York Presbyterian Hospital, NY, USA.; IBD Outpatients Clinic, Catholic University of Paraná, Curitiba, Brazil.; Center for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.; Department of Gastroenterology, Hospital Ceske Budejovice, Ceske Budejovice, Czech Republic.; Department of Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainsville, FL, USA.; Division of Gastroenterology and Hepatology, Tufts Medical Center, Boston, MA, USA.; Gastroenterology Department, Instituto Clínic de Enfermedades Digestivas y Metabólicas, Hospital Clínic de Barcelona, Barcelona, Spain.; Division of Gastroenterology, University of Mississippi Medical Center, Jackson, MS, USA.; Department of Gastroenterology, Mayo Clinic, Rochester, MN, USA.; Clinical and Research Centre for Inflammatory Bowel Disease, ISCARE Clinical Centre, Prague, Czech Republic.; Department of Gastroenterology and Hepatology, Cleveland Clinic Florida, Weston, FL, USA.; Center for Inflammatory Bowel Disease, Department of Gastroenterology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.; Department of Gastroenterology, Dayanand Medical College & Hospital, Ludhiāna, Punjab, India.; Department of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.; Department of Gastroenterology, Hospital Universitari Mútua Terrassa, Fundació per la Recerca Mútua Terrassa, Terrassa, Catalonia; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Madrid, Spain.; Department of Gastroenterology, University of California San Diego, San Diego, CA, USA.; Division of Pediatric Gastroenterology, Columbia University Irving Medical Center, New York Presbyterian Hospital, NY, USA.; Center for Inflammatory Bowel Disease, Virginia Mason Clinic, Seattle, WA, USA.; Clinical and Research Centre for Inflammatory Bowel Disease, Clinical Centre ISCARE, Prague, Czech Republic.; San Francisco Veterans Affairs Medical Center and Department of Gastroenterology, University of California, San Francisco, CA, USA.; Mount Sinai Hospital Inflammatory Bowel Disease Centre, Toronto, ON, Canada.; Inflammatory Bowel Disease Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada.

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