Endoskopie, 2010; 19(3-4): 105-112

The position of colonoscopy in inflamatory bowel diseases

prof.MUDr.Milan Lukáš, CSc.

Klinické a výzkumné centrum pro střevní záněty ISCARE, a. s. a 1. LF UK v Praze

Ústav klinické biochemie a laboratorní diagnostiky 1. LF UK v Praze

Colonoscopy has to be considered as a crucial investigation and therapeutic method in every patients who are suffering from Crohn´s disease

or ulcerative colitis. This is the most important investigation with the regard on diagnosis establishment, evaluation of disease

activity and assessment a large bowel inflammatory involvement. It is a part of spectrum all procedures which are focused on differential

diagnosis of IBD patients. Currently, colonoscopy is applied for evaluation of mucosal healing due to modern therapies include immunosuppressants

and biologics. In some selected patients colonoscopy might be used as a therapeutical procedure due to stenosis dilations.

Dispensarisation programs in patients with extremely high risk of dysplasia or colorectal cancer due to colonoscopy a new techniques

as a chromoendsocopy, magnifying endoscopy and narrow band imaging are used.

Keywords: inflammatory bowel diseases, Crohn´s disease, ulcerative colitis, colonoscopy

Published: November 24, 2010  Show citation