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논문 기본 정보

자료유형
학술저널
저자정보
Kyeong Ok Kim (Division of Gastroenterology and Hepatology Department of Internal Medicine Yeungnam University Col)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제55권 제4호
발행연도
2022.7
수록면
480 - 488 (9page)
DOI
10.5946/ce.2022.108

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초록· 키워드

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Endoscopy is vital for diagnosis, assessing treatment response, monitoring and surveillance in patients with inflammatory bowel disease(IBD). With the growing importance of mucosal healing as a treatment target, the assessment of disease activity by endoscopy hasbeen accepted as the standard of care for IBD. There are many endoscopic activity indices for facilitating standardized reporting of thegastrointestinal mucosal appearance in IBD, and each index has its strengths and weaknesses. Although most endoscopic indices donot have a clear-cut validated definition, endoscopic remission or mucosal healing is associated with favorable outcomes, such as a decreasedrisk of relapse. Therefore, experts suggest utilizing endoscopic indices for monitoring disease activity and optimizing treatmentto achieve remission. However, the regular monitoring of endoscopic activity is limited in practice owing to several factors, such as thecomplexity of the procedure, time consumption, inter-observer variability, and lack of a clear-cut, validated definition of endoscopicresponse or remission. Although experts have recently suggested consensus-based definitions, further studies are needed to define thevalues that can predict long-term outcomes.

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