Current technologies for the endoscopic assessment of duodenal villous pattern in celiac disease

Gianluca Ianiro, Stefano Bibbo', Silvia Pecere, Antonio Gasbarrini, Giovanni Cammarota

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Currently, standard endoscopy is not considered enough reliable for the evaluation of celiac disease, neither to drive biopsy sampling. The diagnostic reliability of the endoscopic assessment of celiac disease has been increased by the recent advancement of software and hardware technologies. Several endoscopic technologies have been investigated so far for the diagnostic evaluation of celiac disease, including: water-immersion techniques, dye-based and dye-less chromoendoscopy techniques (Narrow band imaging; Fujinon Intelligeng Chromo Endoscopy; I-scan); optical coherence tomography; confocal laser endomicroscopy; high-resolution magnification endoscopy; videocapsule endoscopy; enteroscopy. Such a technologic improvement brought us to higher diagnostic possibilities in the evaluation and management of CD. A wider application of advanced diagnostic endoscopic techniques is therefore warranted to decrease the number of misdiagnoses and related healthcare costs of celiac disease.
Original languageEnglish
Pages (from-to)308-314
Number of pages7
JournalComputers in Biology and Medicine
Volume65
DOIs
Publication statusPublished - 2015

Keywords

  • Capsule endoscopy
  • Celiac disease
  • Chromoendoscopy
  • Endoscopy
  • High-resolution magnification endoscopy
  • I-scan technology
  • Malabsorption
  • Narrow band imaging
  • Villous atrophy
  • Water-immersion technique

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