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학술저널
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대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제52권 제2호
발행연도
2019.1
수록면
129 - 136 (8page)

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Inflammatory bowel disease (IBD) is considered a chronic condition characterized by mucosal or transmural inflammation in thegastrointestinal tract. Endoscopic diagnosis and surveillance in patients with IBD have become crucial. In addition, endoscopy is auseful modality in estimation and evaluation of the disease, treatment results, and effcacy of treatment delivery and surveillance. Inrelation to these aspects, endoscopic disease activity has been commonly estimated in clinical practices and trials. At present, many endoscopic indices of ulcerative colitis have been introduced, including the Truelove and Witts Endoscopy Index,Baron Index, Powell-Tuck Index, Sutherland Index, Mayo Clinic Endoscopic Sub-Score, Rachmilewitz Index, Modified Baron Index,Endoscopic Activity Index, Ulcerative Colitis Endoscopic Index of Severity, Ulcerative Colitis Colonoscopic Index of Severity, andModified Mayo Endoscopic Score. Endoscopic indices have been also suggested for Crohn’s disease, such as the Crohn’s DiseaseEndoscopic Index of Severity, Simple Endoscopic Score for Crohn’s Disease, and Rutgeerts Postoperative Endoscopic Index. However,most endoscopic indices have not been validated owing to the complexity of their parameters and inter-observer variations. Therefore,a chronological approach for understanding the various endoscopic indices relating to IBD is needed to improve the management.

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