Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic Review

Background and Aims: There is little agreement on the nomenclature and description of Crohn’s disease (CD) lesions that can be found in the small and large bowel using capsule endoscopy (CE). We performed a systematic review to identify mucosal lesions that have been described using CE in CD, in bot...

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Autores: Marquès Camí, Miquel, Serracarbasa, Alba, D'Haens, Geert R., Löwenberg, Mark
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/174218
Acesso em linha:https://hdl.handle.net/2445/174218
Access Level:acceso abierto
Palavra-chave:Malaltia de Crohn
Malalties inflamatòries intestinals
Crohn's disease
Inflammatory bowel diseases
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spelling Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic ReviewMarquès Camí, MiquelSerracarbasa, AlbaD'Haens, Geert R.Löwenberg, MarkMalaltia de CrohnMalalties inflamatòries intestinalsCrohn's diseaseInflammatory bowel diseasesBackground and Aims: There is little agreement on the nomenclature and description of Crohn’s disease (CD) lesions that can be found in the small and large bowel using capsule endoscopy (CE). We performed a systematic review to identify mucosal lesions that have been described using CE in CD, in both the small bowel and colon, with the aim to make propositions to homogenize such descriptions. Methods: A systematic literature search was conducted using Embase, Medline (OvidSP), and Cochrane Central on August 6, 2019. Clinical studies providing nomenclature and descriptions for small bowel and colonic inflammatory lesions using CE in CD were selected for data collection. Results: In total, 851 articles were included for abstract screening out of which 219 were analyzed for full-text review. Twenty-two articles were selected for data extraction. Seven items, accompanied by clear descriptions, were found for the small bowel: i.e., ulcer, erosion, aphthoid lesion, edema, fissure, cobblestone appearance, and villous atrophy. No studies were found describing inflammatory items using CE in colonic CD. Conclusions: The most frequently described CD lesions using CE were ulcers and erosions. Subjective interpretation of CE inflammatory findings plays an important role. Based on our findings, a range of suggestions regarding items and descriptions is made that might form the basis of a pan-enteric CE activity index.Frontiers Media2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/174218Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3389/fmed.2020.600095Frontiers in Medicine, 2021, vol. 7https://doi.org/10.3389/fmed.2020.600095cc by (c) Marquès Camí et al., 2021http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1742182026-05-27T06:46:51Z
dc.title.none.fl_str_mv Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic Review
title Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic Review
spellingShingle Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic Review
Marquès Camí, Miquel
Malaltia de Crohn
Malalties inflamatòries intestinals
Crohn's disease
Inflammatory bowel diseases
title_short Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic Review
title_full Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic Review
title_fullStr Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic Review
title_full_unstemmed Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic Review
title_sort Characterization of Mucosal Lesions in Crohn's Disease Scored With Capsule Endoscopy: A Systematic Review
dc.creator.none.fl_str_mv Marquès Camí, Miquel
Serracarbasa, Alba
D'Haens, Geert R.
Löwenberg, Mark
author Marquès Camí, Miquel
author_facet Marquès Camí, Miquel
Serracarbasa, Alba
D'Haens, Geert R.
Löwenberg, Mark
author_role author
author2 Serracarbasa, Alba
D'Haens, Geert R.
Löwenberg, Mark
author2_role author
author
author
dc.subject.none.fl_str_mv Malaltia de Crohn
Malalties inflamatòries intestinals
Crohn's disease
Inflammatory bowel diseases
topic Malaltia de Crohn
Malalties inflamatòries intestinals
Crohn's disease
Inflammatory bowel diseases
description Background and Aims: There is little agreement on the nomenclature and description of Crohn’s disease (CD) lesions that can be found in the small and large bowel using capsule endoscopy (CE). We performed a systematic review to identify mucosal lesions that have been described using CE in CD, in both the small bowel and colon, with the aim to make propositions to homogenize such descriptions. Methods: A systematic literature search was conducted using Embase, Medline (OvidSP), and Cochrane Central on August 6, 2019. Clinical studies providing nomenclature and descriptions for small bowel and colonic inflammatory lesions using CE in CD were selected for data collection. Results: In total, 851 articles were included for abstract screening out of which 219 were analyzed for full-text review. Twenty-two articles were selected for data extraction. Seven items, accompanied by clear descriptions, were found for the small bowel: i.e., ulcer, erosion, aphthoid lesion, edema, fissure, cobblestone appearance, and villous atrophy. No studies were found describing inflammatory items using CE in colonic CD. Conclusions: The most frequently described CD lesions using CE were ulcers and erosions. Subjective interpretation of CE inflammatory findings plays an important role. Based on our findings, a range of suggestions regarding items and descriptions is made that might form the basis of a pan-enteric CE activity index.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/174218
url https://hdl.handle.net/2445/174218
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/fmed.2020.600095
Frontiers in Medicine, 2021, vol. 7
https://doi.org/10.3389/fmed.2020.600095
dc.rights.none.fl_str_mv cc by (c) Marquès Camí et al., 2021
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Marquès Camí et al., 2021
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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