Περίληψη:
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.
Συγγραφείς:
Leenhardt, R.
Buisson, A.
Bourreille, A.
Marteau, P.
Koulaouzidis, A.
Li, C.
Keuchel, M.
Rondonotti, E.
Toth, E.
Plevris, J.N.
Eliakim, R.
Rosa, B.
Triantafyllou, K.
Elli, L.
Wurm Johansson, G.
Panter, S.
Ellul, P.
Pérez-Cuadrado Robles, E.
McNamara, D.
Beaumont, H.
Spada, C.
Cavallaro, F.
Cholet, F.
Fernandez-Urien Sainz, I.
Kopylov, U.
McAlindon, M.E.
Németh, A.
Tontini, G.E.
Yung, D.E.
Niv, Y.
Rahmi, G.
Saurin, J.-C.
Dray, X.
Λέξεις-κλειδιά:
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
