1/17/2024 0 Comments Ibs endoscopy findings![]() ![]() Shallow and indiscrete ulcers that involve only the mucosa, with edematous and erythematous changes in the surrounding area may suggest UC. UC mostly presents with rectal inflammation and continuous lesions, while CD presents with discontinuous inflammatory lesions that frequently involve the ileocecal area. In this review, we delineate typical endoscopic findings and the differential diagnostic features of UC, CD, ITB, and intestinal BD based on these guidelines. Guidelines for diagnosis of IBD were established by the IBD Study Group of the Korean Association for the Study of Intestinal Diseases in 2009. Accurate diagnosis of IBD is an important problem in Korea due to the higher prevalence of intestinal tuberculosis (ITB) and intestinal Behcet’s disease (BD) than in the West. However, many clinicians do not yet fully understand the clinical and endoscopic characteristics of IBD so that diagnosis is frequently delayed or incorrect in many cases. The number of patients with IBD has rapidly increased in recent years and is increasingly prominent in Korea. Ulcerative colitis (UC) and Crohn’s disease (CD) are two major forms of IBD. Inflammatory bowel disease (IBD) is a chronic and idiopathic inflammatory disease of the digestive tract showing a remitting and relapsing disease course. Therefore, clinicians should also consider symptoms and laboratory, pathological, and radiological findings, in addition to endoscopic findings. However, the differential diagnosis is difficult in many clinical situations because typical endoscopic findings are not always observed. A few ulcers with discrete margins are a typical endoscopic finding of intestinal BD. Involvement of fewer than four segments, a patulous ileocecal valve, transverse ulcers, and scars or pseudopolyps are more frequently seen in ITB than in CD. Ulcerative colitis mostly presents with rectal inflammation and continuous lesions, while CD presents with discontinuous inflammatory lesions and frequently involves the ileocecal area. Thus, the accurate diagnosis of these inflammatory diseases is problematic in Korea and clinicians should fully understand their clinical and endoscopic characteristics. Intestinal tuberculosis (ITB) and intestinal Behcet’s disease (BD), which should be differentiated from Crohn’s disease (CD), are more frequent in Korea than in the West. Patients with inflammatory bowel disease have significantly increased in recent decades in Korea. ![]()
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