ECCO Topical Review Optimising Reporting in Surgery, Endoscopy, and Histopathology.

Published on Jul 5, 2021in Journal of Crohns & Colitis9.071
· DOI :10.1093/ECCO-JCC/JJAB011
Michel Adamina21
Estimated H-index: 21
(University of Basel),
Roger Feakins31
Estimated H-index: 31
(Royal Free Hospital)
+ 13 AuthorsMagali Svrcek38
Estimated H-index: 38
(University of Paris)
BACKGROUND AND AIMS Diagnosis and management of inflammatory bowel diseases (IBD) requires a lifelong multidisciplinary approach. The quality of medical reporting is essential in this context. The present topical review addresses the need for optimised reporting in endoscopy, surgery, and histopathology. METHODS A consensus expert panel consisting of gastroenterologists, surgeons, and pathologists convened by the European Crohn's and Colitis Organisation performed a systematic literature review. Following topics were covered: In endoscopy: (i) general IBD endoscopy; (ii) disease activity and surveillance; (iii) endoscopy treatment in IBD. In surgery: (iv) medical history with surgical relevance, surgical indication and strategy; (v) operative approach; (vi) intraoperative disease description; (vii) operative steps. In pathology: (viii) macroscopic assessment and interpretation of resection specimens; (ix) IBD histology, including biopsies, surgical resections, and neoplasia; (x) IBD histology conclusion and report. Statements were developed using a Delphi methodology incorporating two consecutive rounds. Current practice positions were set when >80% of participants agreed on a recommendation. RESULTS Thirty practice positions established a standard terminology for optimal reporting in endoscopy, surgery, and histopathology. Assessment of disease activity, surveillance recommendations, advice to surgeons for operative indication and strategies, including margins and extent of resection, and diagnostic criteria of IBD, as well as guidance for the interpretation of dysplasia and cancer were handled. A standardized report including a core set of items to include in each speciality report, was defined. CONCLUSIONS Interdisciplinary high-quality care requires thorough and standardised reporting across specialities. This topical review offers an actionable framework and practice recommendations to optimise reporting in endoscopy, surgery, and histopathology.
#1A. Alshantti (University of Sheffield)H-Index: 1
#2Daniel Hind (University of Sheffield)H-Index: 32
Last. Steven R Brown (University of Sheffield)H-Index: 27
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OBJECTIVES: Recurrence after surgery for Crohn's disease is common. Anastomotic configuration may influence recurrence and the mesentery may be key. Recently the Kono-S anastomosis and radical mesenteric excision have been proposed as methods of reducing recurrence. We analysed the literature pertaining to these novel techniques METHODS: We searched MEDLINE, EMBASE and the Cochrane Library for, and selected, studies evaluating Kono-S anastomosis and/or radical mesenteric excision in Crohn's dise...
#1Fernando Magro (University of Porto)H-Index: 44
#2Glen A. Doherty (UCD: University College Dublin)H-Index: 30
Last. Roger Feakins (Royal Free Hospital)H-Index: 31
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Currently, the main targets of drug therapy for ulcerative colitis [UC] are endoscopic and clinical remission. However, there is active discussion about the additional advantages of including histological remission as a target. Accumulating evidence indicates that microscopic activity persists in endoscopically quiescent UC, that histological changes may lag behind clinical remission after treatment, and that absence of histological activity predicts lower rates of relapse, hospitalisation, surg...
#1Gionata Fiorino (Humanitas University)H-Index: 54
#2Theodore LytrasH-Index: 24
Last. Javier P. Gisbert (UAM: Autonomous University of Madrid)H-Index: 107
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The management of inflammatory bowel disease (IBD) is complex, and requires tight control of disease activity, close monitoring to avoid treatment side effects, healthcare professionals with expertise in IBD and an interdisciplinary, holistic approach. Despite various efforts to standardise structures, processes and outcomes1-8, and due to the high variability at the local, national and international levels, there are still no clear definitions or outcome measures available to establish quality ...
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#2Steven H. Itzkowitz (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 74
One of the most feared complications of inflammatory bowel disease (IBD)-associated colitis is colorectal cancer. When considering the substantial increase in the prevalence of IBD without any anticipated decline, coupled with decreasing colectomy rates for dysplasia and expanding medical options for effectively controlling inflammation, it is predicted that the pool of people living with-and aging with-colonic IBD who are recommended to undergo lifelong colonoscopic surveillance for colorectal ...
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#2Jon D. VogelH-Index: 26
Last. Daniel L. Feingold (RU: Rutgers University)H-Index: 14
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#2Richard Beable (QA: Queen Alexandra Hospital)H-Index: 6
Last. A. Higginson (QA: Queen Alexandra Hospital)H-Index: 2
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#2Masato Yozu (Middlemore Hospital)H-Index: 6
Last. Gregory Y. LauwersH-Index: 102
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#2Deborah S. Keller (CUMC: Columbia University Medical Center)H-Index: 23
Last. Matteo Rottoli (UNIBO: University of Bologna)H-Index: 13
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#2Cheng Liu (UQ: University of Queensland)H-Index: 11
Last. Christophe Rosty (UQ: University of Queensland)H-Index: 56
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#2Hana Vošmiková (Charles University in Prague)H-Index: 10
Last. Jan Laco (Charles University in Prague)H-Index: 27
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Chronically inflamed mucosa in inflammatory bowel disease (IBD) is associated with an increased risk of cancer. Besides IBD-associated dysplasia, there are non-conventional mucosal changes that may act as potential precursors. The aim of the study was to retrospectively review samples from IBD patients focusing on detection of such lesions with evaluation of their immunohistochemical and molecular properties. Surgical specimens and/or endoscopical biopsy samples of IBD patients examined during a...
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#2R Mahmoud (University Medical Center Utrecht)H-Index: 1
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Improvements in disease management, as well as endoscopic technology and quality, have dramatically changed the way in which we conceptualize and manage inflammatory bowel disease–related dysplasia over the past 20 years. Based on evolving literature, we propose a conceptual model and best practice advice statements for the prevention, detection, and management of colorectal dysplasia in people with inflammatory bowel disease. This expert review was commissioned and approved by the American Gast...
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