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Novel Techniques in the Diagnosis of Inflammatory Bowel Disease

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Inflammatory Bowel Disease

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Substantial advances in the diagnosis and management of inflammatory bowel disease (IBD) have arisen from novel laboratory and radiographic tests, as well as from endoscopic luminal and mucosal imaging techniques. Serological markers used in combination may be helpful in differentiating between Crohn’s disease and ulcerative colitis. Elevated levels of calprotectin or lactoferrin in the feces may be helpful in assessing disease activity and response to medical therapy in IBD patients. Capsule endoscopy and double-balloon enteroscopy are considered to be complementary in the evaluation of suspected small intestinal disorders. The Consensus Committee on Colorectal Cancer Surveillance in IBD has endorsed the incorporation of chromoendoscopy performed by trained endoscopists for CRC surveillance in patients with ulcerative colitis. CT enterography may be the preferred test in the initial evaluation of suspected small bowel Crohn’s disease.

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Pasha, S.F., Leighton, J.A. (2011). Novel Techniques in the Diagnosis of Inflammatory Bowel Disease. In: Cohen, R. (eds) Inflammatory Bowel Disease. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-433-3_15

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