L’evoluzione dell’uso dell’endoscopia nelle ibd

Recent advances in endoscopic armamentarium have progressively allowed a deeper assessment and a more accurate characterisation of the intestinal mucosa, including vascular and mucosal details. These have reduced the gap between endoscopy and histology, considered a long-term outcome of inflammatory bowel disease (IBD) and improved the detection and prediction of dysplasia. In addition, new sophisticated techniques such as endocytoscope and confocal laser endomicroscopy have paved the way for molecular labelling and precision medicine. In the future, the advent of artificial intelligence with promising applications could reduce operator-subjectivity, and inter-and intra-observer variability, thereby revolutionising IBD diagnosis and management toward a personalised therapy.