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Differential diagnosis of inflammatory bowel disease: What is the role of colonoscopy?

Title
Differential diagnosis of inflammatory bowel disease: What is the role of colonoscopy?
Authors
Jung S.-A.
Ewha Authors
정성애
SCOPUS Author ID
정성애scopus
Issue Date
2012
Journal Title
Clinical Endoscopy
ISSN
2234-2400JCR Link
Citation
vol. 45, no. 3, pp. 254 - 262
Indexed
SCOPUS; KCI scopus
Abstract
Colonoscopy plays a crucial role in the diagnosis, treatment and follow-up monitoring of inflammatory bowel disease (IBD). Practitioners should be well informed of the colonoscopic findings of IBD to prevent the misdiagnosis, overtreatment or delayed treatment. Distinguishing between Crohn's disease and ulcerative colitis is essential in terms of pharmacological treatment, surgical decision-making, and prognosis. But there are still lesions with difficulty in differentiation that approximately 10% of the patients fall into the category of indeterminate colitis. Efforts are needed to carefully select treatment approach appropriate for each patient by providing a precise diagnosis on the extent and degree of lesions as well as to accurately delineate the lesions to assure that they are compared in subsequent rounds of follow-up monitoring in order to allow redetermination and adjustment of the treatment. © 2012 Korean Society of Gastrointestinal Endoscopy.
DOI
10.5946/ce.2012.45.3.254
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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