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Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
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Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
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Related Experiment Video

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Advances in endoscopy in IBD diagnostics and management.

Joana Roseira1, Maria Manuela Estevinho2, Beatriz Gros3

  • 1Gastroenterology Department, Unidade Local de Saúde do Algarve, Hospital de Portimão, Algarve, Portugal.

Best Practice & Research. Clinical Gastroenterology
|December 5, 2025
PubMed
Summary

Endoscopy is crucial for inflammatory bowel disease (IBD) management, with new technologies enhancing diagnosis and treatment. Advanced endoscopic techniques offer personalized, organ-sparing options for IBD patients.

Keywords:
Artificial intelligenceCrohn's diseaseEndoscopic mucosal resectionEndoscopic submucosal dissectionEndoscopyStentingStricturotomySurveillanceUlcerative colitis

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Area of Science:

  • Gastroenterology
  • Endoscopic Medicine

Background:

  • Endoscopy is vital for diagnosing and managing inflammatory bowel disease (IBD).
  • Technological advancements are improving endoscopic capabilities in IBD care.

Purpose of the Study:

  • To review contemporary trials and guidelines on endoscopy in IBD.
  • To synthesize information into practical algorithms for surveillance and intervention.

Main Methods:

  • Review of current endoscopic technologies (HD imaging, chromoendoscopy, AI).
  • Inclusion of capsule endoscopy and device-assisted enteroscopy.
  • Synthesis of ECCO, ESGE, and ASGE guidance.

Main Results:

  • Advanced imaging and AI improve dysplasia detection and activity grading.
  • Capsule endoscopy and enteroscopy enhance Crohn's disease assessment.
  • Endoscopic therapies like balloon dilation and resection offer organ-sparing options.

Conclusions:

  • Endoscopy is evolving into a functional, predictive, and personalized tool for IBD.
  • Practical algorithms promote precise surveillance and timely intervention in IBD care.