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Role of capsule endoscopy in inflammatory bowel disease:Anything new?

查看全文 作　　者：Edith Pérez de [1]Arce;Rodrigo [2]Quera;Paulina Núñez [2,3]F;Raúl [2]Araya 高影响力作者 机构地区：[1]Department of Gastroenterology,Hospital Clínico Universidad de Chile,Santiago 8380456,Chile;[2]Digestive Disease Center,Inflammatory Bowel Disease Program,Clínica Universidad de los Andes,Santiago 7620157,Chile;[3]Department of Gastroenterology,Hospital San Juan De Dios,Santiago 8350488,Chile高影响力机构 出　　处：《Artificial Intelligence in Gastrointestinal Endoscopy》索引2021年第2卷第4期,共13页高影响力期刊 摘　　要：Capsule endoscopy(CE)is a recently developed diagnostic method for diseases of the small bowel that is non-invasive,safe,and highly tolerable.Its role in patients with inflammatory bowel disease has been widely validated in suspected and established Crohn’s disease(CD)due to its ability to assess superficial lesions not detected by cross-sectional imaging and proximal lesions of the small bowel not evaluable by ileocolonoscopy.Because CE is a highly sensitive but less specific technique,differential diagnoses that can simulate CD must be considered,and its interpretation should be supported by other clinical and laboratory indicators.The use of validated scoring systems to characterize and estimate lesion severity(Lewis score,Capsule Endoscopy Crohn’s Disease Activity Index),as well as the standardization of the language used to define the lesions(Delphi Consensus),have reduced the interobserver variability in CE reading observed in clinical practice,allowing for the optimization of diagnoses and clinical management strategies.The appearance of the panenteric CE,the incorporation of artificial intelligence,magnetically-guided capsules,and tissue biopsies are elements that contribute to CE being a promising,unique diagnostic tool in digestive tract diseases. 关 键 词：Capsule endoscopy Inflammatory bowel disease Crohn’s disease Artificial intelligence Capsule Endoscopy Crohn’s Disease Activity Index Lewis score
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