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Integrating imaging into clinical practice in inflammatory bowel disease


Rogler, G; Vavricka, S R; Biedermann, L (2015). Integrating imaging into clinical practice in inflammatory bowel disease. Digestive Diseases, 33 Suppl:37-43.

Abstract

Imaging is an important component for the monitoring of therapeutic success and disease control in patients with IBD. Colonoscopy is still the gold standard for imaging of disease activity. It is questionable, however, whether 'standard' or 'routine' imaging procedures max contribute to improved IBD therapy. There are good arguments for a problem driven imaging approach in IBD. Subsequently, the schedule of monitoring examinations should depend on the disease course (mild vs. severe) and the treatment used. Bowel ultrasound where available may substitute for endoscopy in many circumstances. New endoscopic techniques will be available at specialized centers for specific management questions. Applying these individualized strategies, imaging/monitoring will pay off for better disease control and better quality of life for IBD patients in the future.

Abstract

Imaging is an important component for the monitoring of therapeutic success and disease control in patients with IBD. Colonoscopy is still the gold standard for imaging of disease activity. It is questionable, however, whether 'standard' or 'routine' imaging procedures max contribute to improved IBD therapy. There are good arguments for a problem driven imaging approach in IBD. Subsequently, the schedule of monitoring examinations should depend on the disease course (mild vs. severe) and the treatment used. Bowel ultrasound where available may substitute for endoscopy in many circumstances. New endoscopic techniques will be available at specialized centers for specific management questions. Applying these individualized strategies, imaging/monitoring will pay off for better disease control and better quality of life for IBD patients in the future.

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1 citation in Web of Science®
1 citation in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Gastroenterology and Hepatology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2015
Deposited On:20 Nov 2015 09:16
Last Modified:01 Oct 2016 00:01
Publisher:Karger
ISSN:0257-2753
Publisher DOI:https://doi.org/10.1159/000437063
PubMed ID:26367115

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