OBJECTIVE To evaluate accuracy and cost of non-invasive diagnostic strategies including magnetic resonance imaging, intestinal ultrasonography, ileocolonoscopy and video-capsule endoscopy in suspected Crohn's disease. METHODS A decision-analytic model was used to assess the costs in low (25%), intermediate (50%) or high (75%) pre-test probability of Crohn's disease. Based on the published acc...

BACKGROUND & AIMS Evaluation of the small intestine for inflammation has traditionally relied on small-bowel follow-through (SBFT), but multiple studies have demonstrated its low diagnostic accuracy. Capsule endoscopy (CE) transmits high-quality images of the small intestinal mucosa; it can be used to visualize the entire length of the small bowel and much of the mucosa. We compared the diagnos...

OBJECTIVES To determine the usefulness of MR enterography in the detection of recurrence in the ileocolonic anastomosis in patients with Crohn's disease that have undergone intestinal resection. MATERIAL AND METHODS We used MR enterography and ileocolonoscopy to study 30 patients with Crohn's disease who had undergone intestinal resection. To determine the degree of relapse, the findings at M...

BACKGROUND/AIMS In some Western countries, up to 50% of patients with ankylosing spondylitis (AS) have subclinical gut inflammation. This study was conducted to evaluate the prevalence and severity of gut inflammation and to determine clinical factors associated with colonic inflammation in Korean AS patients who performed ileocolonoscopy without evidence of established inf lammatory bowel dise...

OBJECTIVE The objective of our study was to prospectively obtain pilot data on the accuracy of MR enterography for detecting small-bowel Crohn's disease compared with CT enterography and with a clinical reference standard based on imaging, clinical information, and ileocolonoscopy. SUBJECTS AND METHODS The study group for this blinded prospective study was composed of 33 patients with suspect...

Esophageal Crohn’s disease (CD) is rare. We present a young girl with dysphagia, weight loss and retrosternal pain due to esophageal CD. Diagnosis was only confirmed after repeated esophageal biopsies and an additional ileocolonoscopy. Abdominal ultrasound and fecal calprotectin did support the diagnosis of CD. Treatment by exclusive enteral feeding, temporary oral viscous budesonide, esomepraz...

........................................ Received: 14-01-10 Accepted: 10-08-10 Abstract Ileocolonoscopy plays a critical role in the diagnosis and treatment of inflammatory bowel disease (IBD) This article reviews the utility of ileocolonoscopy in the diagnosis of the ulcerative colitis and Crohn’s Disease (CD). It emphasizes recommendations for monitoring cancer and the use of the most recent ...

Abstract Background Despite the increased availability of biological therapies, postoperative recurrence (POR) after an ileocolonic resection with anastomosis frequently occurs in patients Crohn’s disease. Methods Over last two years, a mixed panel 24 gastroenterologists and colorectal surgeons collaborated within 8th Scientific Workshop ECCO. The available evidence on diagnosis, pathophysiolog...