TY - JOUR
TI - Nomenclature and semantic descriptions of ulcerative and inflammatory lesions seen in Crohn’s disease in small bowel capsule endoscopy: An international Delphi consensus statement
AU - Leenhardt, R.
AU - Buisson, A.
AU - Bourreille, A.
AU - Marteau, P.
AU - Koulaouzidis, A.
AU - Li, C.
AU - Keuchel, M.
AU - Rondonotti, E.
AU - Toth, E.
AU - Plevris, J.N.
AU - Eliakim, R.
AU - Rosa, B.
AU - Triantafyllou, K.
AU - Elli, L.
AU - Wurm Johansson, G.
AU - Panter, S.
AU - Ellul, P.
AU - Pérez-Cuadrado Robles, E.
AU - McNamara, D.
AU - Beaumont, H.
AU - Spada, C.
AU - Cavallaro, F.
AU - Cholet, F.
AU - Fernandez-Urien Sainz, I.
AU - Kopylov, U.
AU - McAlindon, M.E.
AU - Németh, A.
AU - Tontini, G.E.
AU - Yung, D.E.
AU - Niv, Y.
AU - Rahmi, G.
AU - Saurin, J.-C.
AU - Dray, X.
JO - United European Gastroenterology Journal
PY - 2020
VL - 8
TODO - 1
SP - 99-107
PB - SAGE Publications Ltd
SN - 2050-6406, 2050-6414
TODO - 10.1177/2050640619895864
TODO - Article;  capsule endoscopy;  colon tissue;  colonoscopy;  Crohn disease;  edema;  gastroenterology;  human;  hyperemia;  image analysis;  inflammatory bowel disease;  nomenclature;  numeric rating scale;  priority journal;  questionnaire;  stenosis;  ulcer;  capsule endoscopy;  consensus;  Crohn disease;  Delphi study;  diagnostic imaging;  immunology;  international cooperation;  nomenclature;  observer variation;  pathology;  semantics;  small intestine, Capsule Endoscopy;  Consensus;  Crohn Disease;  Delphi Technique;  Gastroenterology;  Humans;  International Cooperation;  Intestine, Small;  Observer Variation;  Semantics;  Terminology as Topic
TODO - Background: In the medical literature, the nomenclature and descriptions (ND) of small bowel (SB) ulcerative and inflammatory (U-I) lesions in capsule endoscopy (CE) are scarce and inconsistent. Inter-observer variability in interpreting these findings remains a major limitation in the assessment of the severity of mucosal lesions, which can impact negatively on clinical care, training and research on SB-CE. Objective: Focusing on SB-CE in Crohn’s disease (CD), our aim is to establish a consensus on the ND of U-I lesions. Methods: An international panel of experienced SB-CE readers was formed during the 2016 United European Gastroenterology Week meeting. A core group of five CE and inflammatory bowel disease (IBD) experts established an Internet-based, three-round Delphi consensus but did not participate in the voting process. The core group built illustrated questionnaires, including SB-CE still frames of U-I lesions from patients with documented CD. Twenty-seven other experts were asked to rate and comment on the different proposals for the ND of the most frequent SB U-I lesions. For each round, we used a 6-point rating scale (varying from ‘strongly disagree’ to ‘strongly agree’). The consensus was reached when at least 80 % of the voting members scored the statement within the ‘agree’ or ‘strongly agree’ categories. Results: A 100% participation rate was obtained for all the rounds. Consensual ND were reached for the following seven U-I lesions: aphthoid erosion, deep ulceration, superficial ulceration, stenosis, edema, hyperemia and denudation. Conclusion: Considering the most frequent SB U-I lesions seen in CE in CD, a consensual ND was reached by the international group of experts. These descriptions and names are useful not only for daily practice and medical education, but also for medical research. © Author(s) 2019.
ER -