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Inflammatory bowel disease (IBD) encompasses two major forms of chronic intestinal disorders, Crohn's disease and ulcerative colitis (UC). Diagnosis is based on several macroscopic and histologic features including patterns of inflammation, crypt abscesses and granulomas. i-Scan use an endoscopic image from the video processor and reconstruct virtual images in real time, resulting in an improved contrast of the capillary patterns and enhancement of the mucosal surface (so called virtual chromoendoscopy).
The main objective of this study is to determine endoscopic features of mucosal healing in patients with IBD and to compare these features to clinical and histological data in order to establish a new endoscopic classification of mucosal healing and to evaluate mucosal healing as a parameter of remission and relapse.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Crohn´s disease - active | Patients in the active phase of the disease |
| |
| Crohn´s disease - quiescent | Patients in the quiescent phase of the disease |
| |
| Ulcerative colitis - active | Patients in the active phase of the disease |
| |
| Ucerative colitis - quiescent | Patients in the quiescent phase of the disease |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High-definition white light endoscopy and i-Scan | Device | Patients will undergo advanced endoscopic imaging. Findings will be compared to histopathological and clinical results. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mucosal healing | We will determine high-definition white light endoscopic and i-Scan features of mucosal inflammation (e.g. erosions, erythema, ulcerous lesions) in IBD in order to establish a new endoscopic classification of mucosal healing. | up to three years |
| Measure | Description | Time Frame |
|---|---|---|
| Histologic correlation | Comparison of clinical and histopathological data with endoscopic findings to evaluate mucosal healing as a parameter of remission and relapse. | up to three years |
| Therapeutic effect |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with Crohn´s disease and ulcerative colitis were prospectively included.
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| Name | Affiliation | Role |
|---|---|---|
| Helmut Neumann, Professor | Department of Medicine I, University of Erlangen-Nuremberg, Germany | Principal Investigator |
| Markus F. Neurath, Professor | Department of Medicine I, University of Erlangen-Nuremberg, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Erlangen-Nuremberg | Erlangen | 91054 | Germany |
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| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| D003093 | Colitis, Ulcerative |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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We will evaluate the effect of different therapeutic strategies (eg. anti-TNF treatment) on characteristics (e.g. erosions, ulcers, erythema) of mucosal healing.
| up to three years |
| D007410 | Intestinal Diseases |
| D003092 | Colitis |
| D003108 | Colonic Diseases |