Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: An international OMED-ECCO consensus

A. Bourreille, A. Ignjatovic, L. Aabakken, Edward Vincent Loftus, Jr, R. Eliakim, M. Pennazio, Y. Bouhnik, E. Seidman, M. Keuchel, J. G. Albert, S. Ardizzone, S. Bar-Meir, R. Bisschops, E. J. Despott, P. F. Fortun, R. Heuschkel, J. Kammermeier, Jonathan A Leighton, G. J. Mantzaris, D. MoussataS. Lo, V. Paulsen, J. Panés, G. Radford-Smith, W. Reinisch, E. Rondonotti, D. S. Sanders, J. M. Swoger, H. Yamamoto, S. Travis, J. F. Colombel, A. Van Gossum

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Abstract

Crohn's disease and ulcerative colitis are lifelong diseases seen predominantly in the developed countries of the world. Whereas ulcerative colitis is a chronic inflammatory condition causing diffuse and continuous mucosal inflammation of the colon, Crohn's disease is a heterogeneous entity comprised of several different phenotypes, but can affect the entire gastrointestinal tract. A change in diagnosis from Crohn's disease to ulcerative colitis during the first year of illness occurs in about 10%-15% of cases. Inflammatory bowel disease (IBD) restricted to the colon that cannot be characterized as either ulcerative colitis or Crohn's disease is termed IBD-unclassified (IBDU). The advent of capsule and both singleand double-balloon-assisted enteroscopy is revolutionizing small-bowel imaging and has major implications for diagnosis, classification, therapeutic decision making and outcomes in the management of IBD. The role of these investigations in the diagnosis and management of IBD, however, is unclear.This document sets out the current Consensus reached by a group of international experts in the fields of endoscopy and IBD at a meeting held in Brussels, 12-13th December 2008, organized jointly by the European Crohn's and Colitis Organisation (ECCO) and the Organisation Mondiale d'Endoscopie Digestive (OMED). The Consensus is grouped into seven sections: definitions and diagnosis; suspected Crohn's disease; established Crohn's disease; IBDU; ulcerative colitis (including ileal pouch-anal anastomosis [IPAA]); paediatric practice; and complications and unresolved questions.Consensus guideline statements are followed by comments on the evidence and opinion. Statements are intended to be read in context with qualifying comments and not read in isolation.

Original languageEnglish (US)
Pages (from-to)618-637
Number of pages20
JournalEndoscopy
Volume41
Issue number7
DOIs
StatePublished - 2009

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Colitis
Inflammatory Bowel Diseases
Crohn Disease
Endoscopy
Consensus
Ulcerative Colitis
Organizations
Colon
Double-Balloon Enteroscopy
Colonic Pouches
Developed Countries
Capsules
Gastrointestinal Tract
Decision Making
Guidelines
Pediatrics
Inflammation
Phenotype

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease : An international OMED-ECCO consensus. / Bourreille, A.; Ignjatovic, A.; Aabakken, L.; Loftus, Jr, Edward Vincent; Eliakim, R.; Pennazio, M.; Bouhnik, Y.; Seidman, E.; Keuchel, M.; Albert, J. G.; Ardizzone, S.; Bar-Meir, S.; Bisschops, R.; Despott, E. J.; Fortun, P. F.; Heuschkel, R.; Kammermeier, J.; Leighton, Jonathan A; Mantzaris, G. J.; Moussata, D.; Lo, S.; Paulsen, V.; Panés, J.; Radford-Smith, G.; Reinisch, W.; Rondonotti, E.; Sanders, D. S.; Swoger, J. M.; Yamamoto, H.; Travis, S.; Colombel, J. F.; Van Gossum, A.

In: Endoscopy, Vol. 41, No. 7, 2009, p. 618-637.

Research output: Contribution to journalArticle

Bourreille, A, Ignjatovic, A, Aabakken, L, Loftus, Jr, EV, Eliakim, R, Pennazio, M, Bouhnik, Y, Seidman, E, Keuchel, M, Albert, JG, Ardizzone, S, Bar-Meir, S, Bisschops, R, Despott, EJ, Fortun, PF, Heuschkel, R, Kammermeier, J, Leighton, JA, Mantzaris, GJ, Moussata, D, Lo, S, Paulsen, V, Panés, J, Radford-Smith, G, Reinisch, W, Rondonotti, E, Sanders, DS, Swoger, JM, Yamamoto, H, Travis, S, Colombel, JF & Van Gossum, A 2009, 'Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: An international OMED-ECCO consensus', Endoscopy, vol. 41, no. 7, pp. 618-637. https://doi.org/10.1055/s-0029-1214790
Bourreille, A. ; Ignjatovic, A. ; Aabakken, L. ; Loftus, Jr, Edward Vincent ; Eliakim, R. ; Pennazio, M. ; Bouhnik, Y. ; Seidman, E. ; Keuchel, M. ; Albert, J. G. ; Ardizzone, S. ; Bar-Meir, S. ; Bisschops, R. ; Despott, E. J. ; Fortun, P. F. ; Heuschkel, R. ; Kammermeier, J. ; Leighton, Jonathan A ; Mantzaris, G. J. ; Moussata, D. ; Lo, S. ; Paulsen, V. ; Panés, J. ; Radford-Smith, G. ; Reinisch, W. ; Rondonotti, E. ; Sanders, D. S. ; Swoger, J. M. ; Yamamoto, H. ; Travis, S. ; Colombel, J. F. ; Van Gossum, A. / Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease : An international OMED-ECCO consensus. In: Endoscopy. 2009 ; Vol. 41, No. 7. pp. 618-637.
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abstract = "Crohn's disease and ulcerative colitis are lifelong diseases seen predominantly in the developed countries of the world. Whereas ulcerative colitis is a chronic inflammatory condition causing diffuse and continuous mucosal inflammation of the colon, Crohn's disease is a heterogeneous entity comprised of several different phenotypes, but can affect the entire gastrointestinal tract. A change in diagnosis from Crohn's disease to ulcerative colitis during the first year of illness occurs in about 10{\%}-15{\%} of cases. Inflammatory bowel disease (IBD) restricted to the colon that cannot be characterized as either ulcerative colitis or Crohn's disease is termed IBD-unclassified (IBDU). The advent of capsule and both singleand double-balloon-assisted enteroscopy is revolutionizing small-bowel imaging and has major implications for diagnosis, classification, therapeutic decision making and outcomes in the management of IBD. The role of these investigations in the diagnosis and management of IBD, however, is unclear.This document sets out the current Consensus reached by a group of international experts in the fields of endoscopy and IBD at a meeting held in Brussels, 12-13th December 2008, organized jointly by the European Crohn's and Colitis Organisation (ECCO) and the Organisation Mondiale d'Endoscopie Digestive (OMED). The Consensus is grouped into seven sections: definitions and diagnosis; suspected Crohn's disease; established Crohn's disease; IBDU; ulcerative colitis (including ileal pouch-anal anastomosis [IPAA]); paediatric practice; and complications and unresolved questions.Consensus guideline statements are followed by comments on the evidence and opinion. Statements are intended to be read in context with qualifying comments and not read in isolation.",
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T2 - An international OMED-ECCO consensus

AU - Bourreille, A.

AU - Ignjatovic, A.

AU - Aabakken, L.

AU - Loftus, Jr, Edward Vincent

AU - Eliakim, R.

AU - Pennazio, M.

AU - Bouhnik, Y.

AU - Seidman, E.

AU - Keuchel, M.

AU - Albert, J. G.

AU - Ardizzone, S.

AU - Bar-Meir, S.

AU - Bisschops, R.

AU - Despott, E. J.

AU - Fortun, P. F.

AU - Heuschkel, R.

AU - Kammermeier, J.

AU - Leighton, Jonathan A

AU - Mantzaris, G. J.

AU - Moussata, D.

AU - Lo, S.

AU - Paulsen, V.

AU - Panés, J.

AU - Radford-Smith, G.

AU - Reinisch, W.

AU - Rondonotti, E.

AU - Sanders, D. S.

AU - Swoger, J. M.

AU - Yamamoto, H.

AU - Travis, S.

AU - Colombel, J. F.

AU - Van Gossum, A.

PY - 2009

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N2 - Crohn's disease and ulcerative colitis are lifelong diseases seen predominantly in the developed countries of the world. Whereas ulcerative colitis is a chronic inflammatory condition causing diffuse and continuous mucosal inflammation of the colon, Crohn's disease is a heterogeneous entity comprised of several different phenotypes, but can affect the entire gastrointestinal tract. A change in diagnosis from Crohn's disease to ulcerative colitis during the first year of illness occurs in about 10%-15% of cases. Inflammatory bowel disease (IBD) restricted to the colon that cannot be characterized as either ulcerative colitis or Crohn's disease is termed IBD-unclassified (IBDU). The advent of capsule and both singleand double-balloon-assisted enteroscopy is revolutionizing small-bowel imaging and has major implications for diagnosis, classification, therapeutic decision making and outcomes in the management of IBD. The role of these investigations in the diagnosis and management of IBD, however, is unclear.This document sets out the current Consensus reached by a group of international experts in the fields of endoscopy and IBD at a meeting held in Brussels, 12-13th December 2008, organized jointly by the European Crohn's and Colitis Organisation (ECCO) and the Organisation Mondiale d'Endoscopie Digestive (OMED). The Consensus is grouped into seven sections: definitions and diagnosis; suspected Crohn's disease; established Crohn's disease; IBDU; ulcerative colitis (including ileal pouch-anal anastomosis [IPAA]); paediatric practice; and complications and unresolved questions.Consensus guideline statements are followed by comments on the evidence and opinion. Statements are intended to be read in context with qualifying comments and not read in isolation.

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