Published online Sep 21, 2018. doi: 10.3748/wjg.v24.i35.4014
Peer-review started: March 30, 2018
First decision: May 17, 2018
Revised: July 29, 2018
Accepted: August 1, 2018
Article in press: August 1, 2018
Published online: September 21, 2018
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.
Core tip: Although endoscopy has long been used in the diagnosis and management of inflammatory bowel disease (IBD), technologic advances have allowed for additional tools to assist in the management and treatment of IBD patients. This review article discusses the roles, indications, and limitations of endoscopy in IBD.