Title: A Study of Endoscopic Assessment of Disease Severity using Narrow Band Imaging in Patients of Ulcerative Colitis
Authors: Dr Rajendra Uikey, Dr Naresh Kumar Patel, Dr Umesh Kumar Chandra, Dr Atul Shende
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.106
Abstract
Background: For diagnosis of Ulcerative Colitis (UC), proper clinical history, laboratory test, and colonoscopy [both conventional and Narrow Band Imaging (NBI)] are needed. Present study aims to find out disease severity of UC patients with the help of NBI study and its comparison with white light colonoscopy.
Methods: This observational study was conducted in 50 consecutive UC patients, who were attending Department of Medicine, MY Hospital, Indore, India. Study was approved by Ethical Committee.
Results: Out of 50 patients of UC, according to Baron Score, mild, moderate, and severe disease was found in 8(16%), 29(58%), and 13(26%) patients respectively. As per UCDAI Score out of 50 patients, mild, moderate, and severe disease was found in 17(34%), 25(50%) and 8(16%) patients respectively. Out of these patients of UC, mild, moderate, and severe disease was found in 5(10%), 18(36%), and 27(54%) patients respectively. In our study, we found a statistically significant association of disease activity when compared white light colonoscopy Baron Score with NBI study (p value- 0.000001), and UCDAI with NBI study (P value- 0.000001).
Conclusions: We recommended that all patients of UC should be subjected to NBI study for baseline assessment of disease severity. NBI can be a useful armamentarium in surveillance of complications of ulcerative colitis.
Keywords: Baron score, Colonoscopy, Narrow Band Imaging, Ulcerative colitis.
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