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Results of the 2nd part Scientific Workshop of the ECCO (II): measures and markers of prediction to achieve, detect, and monitor intestinal healing in Inflammatory Bowel Disease
- Source :
- J Crohns Colitis, J Crohns Colitis, 2011, 5 ((5)), pp.484-98. ⟨10.1016/j.crohns.2011.07.003⟩, Journal of Crohn's and Colitis, 5, 484-498. Oxford University Press
- Publication Year :
- 2011
-
Abstract
- International audience; The healing of the intestine is becoming an important objective in the management of inflammatory bowel diseases. It is associated with improved disease outcome. Therefore the assessment of this healing both in clinical studies and routine practice is a key issue. Endoscopy for the colon and terminal ileum and computerized tomography or magnetic resonance imaging for the small bowel are the most direct ways to evaluate intestinal healing. However, there are many unsolved questions about the definition and the precise assessment of intestinal healing using these endoscopic and imaging techniques. Furthermore, these are relatively invasive and expensive procedures that may be inadequate for regular patients' monitoring. Therefore, biomarkers such as C-reactive protein and fecal calprotectin have been proposed as surrogate markers for intestinal healing. Nevertheless, the sensitivity and specificity of these markers for the prediction of healing may be insufficient for routine practice. New stool, blood or intestinal biomarkers are currently studied and may improve our ability to monitor intestinal healing in the future.
- Subjects :
- medicine.medical_specialty
Fecal markers
Imaging techniques
Routine practice
Gastroenterology
Inflammatory bowel disease
Sensitivity and Specificity
Endoscopy, Gastrointestinal
analysis/metabolism, Endoscopy
Transmural healing
03 medical and health sciences
0302 clinical medicine
Intestinal mucosa
Internal medicine
medicine
Terminal ileum
Humans
X-Ray Computed, Wound Healing
Intestinal Mucosa
Gastrointestinal, Humans, Inflammatory Bowel Disease
Wound Healing
medicine.diagnostic_test
[CHIM.ORGA]Chemical Sciences/Organic chemistry
business.industry
Mucosal healing
pathology/physiopathology, Intestinal Mucosa
Inflammatory Bowel Diseases
Mucous membrane
Endoscopy
General Medicine
medicine.disease
Magnetic Resonance Imaging
pathology/physiopathology, Magnetic Resonance Imaging, Sensitivity and Specificity, Tomography
3. Good health
medicine.anatomical_structure
030220 oncology & carcinogenesis
Biological Marker
Genetic markers
030211 gastroenterology & hepatology
Calprotectin
business
Tomography, X-Ray Computed
Serologic markers
Biomarkers
Subjects
Details
- ISSN :
- 18739946
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of Crohn's and Colitis
- Accession number :
- edsair.doi.dedup.....10ac5e63e14fcdb8761f1aa6af33b65f
- Full Text :
- https://doi.org/10.1016/j.crohns.2011.07.003