KMID : 0359020120450030254
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Korean Journal of Gastrointestinal Endoscopy 2012 Volume.45 No. 3 p.254 ~ p.262
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Differential Diagnosis of Inflammatory Bowel Disease: What Is the Role of Colonoscopy?
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Jung Sung-Ae
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Abstract
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Colonoscopy plays a crucial role in the diagnosis, treatment and follow-up monitoring of inflammatory bowel disease (IBD). Practitioners should be well informed of the colonoscopic findings of IBD to prevent the misdiagnosis, overtreatment or delayed treatment. Distinguishing between Crohn¡¯s disease and ulcerative colitis is essential in terms of
pharmacological treatment, surgical decision-making, and prognosis. But there are still lesions with difficulty in differentiation that approximately 10% of the patients fall into the category of indeterminate colitis. Efforts are needed to carefully select treatment approach appropriate for each patient by providing a precise diagnosis on the extent and degree of lesions as well as to accurately delineate the lesions to assure that they are compared in subsequent rounds of follow-up monitoring in order to allow redetermination and adjustment of the treatment.
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KEYWORD
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Inflammatory bowel disease, Colonoscopy, Differential diagnosisv
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