Endoscopic evaluation of surgically altered bowel in inflammatory bowel disease: a consensus guideline from the Global Interventional Inflammatory Bowel Disease Group

Bo Shen*, Gursimran S. Kochhar, Udayakumar Navaneethan, Raymond K. Cross, Francis A. Farraye, Marietta Iacucci, David A. Schwartz, Yago Gonzalez-Lama, Jason Schairer, Ravi P. Kiran, Paulo Gustavo Kotze, Taku Kobayashi, Martin Bortlik, Xiuli Liu, Alexander N. Levy, Begoña González Suárez, Shou Jiang Tang, Nayantara Coelho-Prabhu, Martin Lukas, David H. BruiningSandra El-Hachem, Roger J. Charles, Yan Chen, Ajit Sood, Ren Mao, Carme Loras, Parambir S. Dulai, Joseph A. Picoraro, Michael Chiorean, Milan Lukas, Amandeep Shergill, Mark S. Silverberg, William J. Sandborn, Charles N. Bernstein

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

The majority of patients with Crohn's disease and a proportion of patients with ulcerative colitis will ultimately require surgical treatment despite advances in diagnosis, therapy, and endoscopic interventions. The surgical procedures that are most commonly done include bowel resection with anastomosis, strictureplasty, faecal diversion, and ileal pouch. These surgical treatment modalities result in substantial alterations in bowel anatomy. In patients with inflammatory bowel disease, endoscopy plays a key role in the assessment of disease activity, disease recurrence, treatment response, dysplasia surveillance, and delivery of endoscopic therapy. Endoscopic evaluation and management of surgically altered bowel can be challenging. This consensus guideline delineates anatomical landmarks and endoscopic assessment of these landmarks in diseased and surgically altered bowel.

Original languageEnglish (US)
Pages (from-to)482-497
Number of pages16
JournalThe Lancet Gastroenterology and Hepatology
Volume6
Issue number6
DOIs
StatePublished - Jun 2021
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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