Discordance between endoscopic and histopathologic assessment in ileal Crohn’s disease

A striking discordance exists between endoscopic and histologic assessments for mucosal inflammation in patients with active ileal CD, even in biopsies targeted at an ulcer edge, while a higher concordance is seen in patients with no endoscopic disease activity. It remains unclear how to incorporate histologic disease activity into the treatment paradigm. Further research is needed to optimize biopsy protocols and histologic assessments for CD.

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Publication Details

Journal
World Journal of Gastrointestinal Endoscopy
Published
2025-02-12
DOI
https://doi.org/10.4253/wjge.v17.i2.101284
Citations
4
Primary Topic
Inflammatory Bowel Disease
Type
article
Field-Weighted Citation Impact
7.27
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article

Discordance between endoscopic and histopathologic assessment in ileal Crohn’s disease

Scott D Lee, Kindra D Clark-Snustad, Kendra Kamp, Xianyong Gui et al.
4 citations
World Journal of Gastrointestinal Endoscopy
Inflammatory Bowel Disease
7.27
article

Discordance between endoscopic and histopathologic assessment in ileal Crohn’s disease

Scott D Lee, Kindra D Clark-Snustad, Kendra Kamp, Xianyong Gui, Christian Avalos, Brian Mau
article en
4 citations

Abstract

A striking discordance exists between endoscopic and histologic assessments for mucosal inflammation in patients with active ileal CD, even in biopsies targeted at an ulcer edge, while a higher concordance is seen in patients with no endoscopic disease activity. It remains unclear how to incorporate histologic disease activity into the treatment paradigm. Further research is needed to optimize biopsy protocols and histologic assessments for CD.

World Journal of Gastrointestinal EndoscopyVol. 17(2)
Oregon Health & Science University (US), University of Washington (US), Neurobehavioral Systems (US), Wake Forest University (US)
Openalex Percentile: Top 4%
Inflammatory Bowel Disease
7.27
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