Endoscopy in inflammatory bowel disease: Role in diagnosis, management, and treatment

Clayton M Spiceland, Nilesh Lodhia, Clayton M Spiceland, Nilesh Lodhia

Abstract

Endoscopy plays a fundamental role in the diagnosis, management, and treatment of inflammatory bowel disease (IBD). Colonoscopy, flexible sigmoidoscopy, and esophagogastroduodenoscopy have long been used in the care of patients with IBD. As endoscopic technologies have progressed, tools such as endoscopic ultrasound, capsule endoscopy, and balloon-assisted enteroscopy have expanded the role of endoscopy in IBD. Furthermore, chromoendoscopy has enhanced our ability to detect dysplasia in IBD. In this review article, we will focus on the roles, indications, and limitations of these tools in IBD. We will also discuss the most commonly used endoscopic scoring systems, as well as special considerations in post-surgical patients. Lastly, we will discuss the role of endoscopy in the diagnosis and management of fistulae and strictures.

Keywords: Capsule endoscopy; Colonoscopy; Crohn’s disease; Dysplasia detection; Endoscopy; Fistula management; Inflammatory bowel disease; Stricture dilation; Ulcerative colitis.

Conflict of interest statement

Conflict-of-interest statement: Lodhia N has served as a consultant for Medtronic. No potential conflicts of interest for Spiceland CM. No financial support.

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