Guidelines for endoscopic diagnosis and treatment of inflammatory bowel diseases

doi:10.1111/den.15002

Practice Guideline

. 2025 Apr;37(4):319-351.

doi: 10.1111/den.15002. Epub 2025 Mar 3.

Guidelines for endoscopic diagnosis and treatment of inflammatory bowel diseases

Takayuki Matsumoto¹, Tadakazu Hisamatsu², Motohiro Esaki³, Teppei Omori⁴, Hirotake Sakuraba⁵, Shinichiro Shinzaki⁶, Ken Sugimoto⁷, Kento Takenaka⁸, Makoto Naganuma⁹, Shigeki Bamba¹⁰, Takashi Hisabe¹¹, Sakiko Hiraoka¹², Mikihiro Fujiya¹³, Minoru Matsuura², Shunichi Yanai¹, Kenji Watanabe¹⁴, Haruhiko Ogata¹⁵, Akira Andoh¹⁶, Hiroshi Nakase¹⁷, Kazuo Ohtsuka¹⁸, Fumihito Hirai¹⁹, Mitsuhiro Fujishiro²⁰, Yoshinori Igarashi²¹, Shinji Tanaka²²

Affiliations

¹ Division of Gastroenterology and Hepatology, Department of Internal Medicine, Iwate Medical University, Iwate, Japan.
² Department of Gastroenterology and Hepatology, Kyorin University School of Medicine, Tokyo, Japan.
³ Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
⁴ Department of Gastroenterology and Hepatology, Kyorin University School of Medicine, Kyorin University Suginami Hospital, Tokyo, Japan.
⁵ Department of Gastroenterology, Hematology and Clinical Immunology, Graduate School of Medicine Hirosaki University, Aomori, Japan.
⁶ Department of Gastroenterology, Faculty of Medicine, Hyogo Medical University, Hyogo, Japan.
⁷ First Department of Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan.
⁸ Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University, Tokyo, Japan.
⁹ Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
¹⁰ Department of Fundamental Nursing, Shiga University of Medical Science, Shiga, Japan.
¹¹ Department of Gastroenterology, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
¹² Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
¹³ Division of Gastroenterology, Department of Internal Medicine, Asahikawa Medical University, Hokkaido, Japan.
¹⁴ Department of Internal Medicine for Inflammatory Bowel Disease, University of Toyama, Toyama, Japan.
¹⁵ Department of Clinical Medical Research Center, International University of Health and Welfare, Tochigi, Japan.
¹⁶ Department of Gastroenterology, Shiga University Medical Science, Shiga, Japan.
¹⁷ Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine, Hokkaido, Japan.
¹⁸ Endoscopy Unit, Tokyo Medical and Dental University Hospital, Tokyo, Japan.
¹⁹ Department of Gastroenterology, Fukuoka University, Fukuoka, Japan.
²⁰ Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
²¹ Department of Gastroenterology and Hepatology, Toho University Omori Medical Center, Tokyo, Japan.
²² JA Onomichi General Hospital, Hiroshima, Japan.

PMID: 40025935
DOI: 10.1111/den.15002

Practice Guideline

Guidelines for endoscopic diagnosis and treatment of inflammatory bowel diseases

Takayuki Matsumoto et al. Dig Endosc. 2025 Apr.

. 2025 Apr;37(4):319-351.

doi: 10.1111/den.15002. Epub 2025 Mar 3.

Authors

Affiliations

¹ Division of Gastroenterology and Hepatology, Department of Internal Medicine, Iwate Medical University, Iwate, Japan.
² Department of Gastroenterology and Hepatology, Kyorin University School of Medicine, Tokyo, Japan.
³ Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
⁴ Department of Gastroenterology and Hepatology, Kyorin University School of Medicine, Kyorin University Suginami Hospital, Tokyo, Japan.
⁵ Department of Gastroenterology, Hematology and Clinical Immunology, Graduate School of Medicine Hirosaki University, Aomori, Japan.
⁶ Department of Gastroenterology, Faculty of Medicine, Hyogo Medical University, Hyogo, Japan.
⁷ First Department of Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan.
⁸ Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University, Tokyo, Japan.
⁹ Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
¹⁰ Department of Fundamental Nursing, Shiga University of Medical Science, Shiga, Japan.
¹¹ Department of Gastroenterology, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
¹² Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
¹³ Division of Gastroenterology, Department of Internal Medicine, Asahikawa Medical University, Hokkaido, Japan.
¹⁴ Department of Internal Medicine for Inflammatory Bowel Disease, University of Toyama, Toyama, Japan.
¹⁵ Department of Clinical Medical Research Center, International University of Health and Welfare, Tochigi, Japan.
¹⁶ Department of Gastroenterology, Shiga University Medical Science, Shiga, Japan.
¹⁷ Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine, Hokkaido, Japan.
¹⁸ Endoscopy Unit, Tokyo Medical and Dental University Hospital, Tokyo, Japan.
¹⁹ Department of Gastroenterology, Fukuoka University, Fukuoka, Japan.
²⁰ Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
²¹ Department of Gastroenterology and Hepatology, Toho University Omori Medical Center, Tokyo, Japan.
²² JA Onomichi General Hospital, Hiroshima, Japan.

PMID: 40025935
DOI: 10.1111/den.15002

Abstract

In recent years, we have seen a considerable increase in the number of patients with inflammatory bowel diseases of unknown etiology, including both Crohn's disease and ulcerative colitis. Inflammatory bowel diseases can cause intestinal lesions throughout the gastrointestinal tract, necessitating gastrointestinal endoscopy for examining all relevant aspects, especially lesion characteristics, for differential diagnosis and histological diagnosis, to select the appropriate treatment options, determine treatment effectiveness, etc. Specific guidelines are necessary to ensure that endoscopy can be performed in a safe and more tailored and efficient manner, especially since gastrointestinal endoscopy, including enteroscopy, is a common procedure worldwide, including in Japan. Within this context, the Japan Gastroenterological Endoscopy Society has formulated the "Guidelines for the Endoscopic Diagnosis and Treatment of Inflammatory Bowel Diseases" to provide detailed guidelines regarding esophagogastroduodenoscopy, enteroscopy, and colonoscopy procedures for definitive diagnosis, as well as determination of treatment effectiveness in clinical cases of inflammatory bowel diseases.

Keywords: Crohn's disease; gastrointestinal endoscopy; inflammatory bowel disease; ulcerative colitis.

PubMed Disclaimer

Cited by

Serum C-Reactive Protein as a Potential Indicator for Screening Fecal Calprotectin in Patients With Moderate-to-Severe Hidradenitis Suppurativa: A Cross-Sectional Cohort Study.
Demirel Öğüt N, Ilıkçı Sağkan R, Arıcı R, Gökyayla E, Ünal S, Koç Yıldırım S, Erbağcı E, Öztürk A. Demirel Öğüt N, et al. Int J Dermatol. 2025 Sep;64(9):1615-1622. doi: 10.1111/ijd.17868. Epub 2025 May 21. Int J Dermatol. 2025. PMID: 40400092 Free PMC article.

References

REFERENCE

1. Minds Manual Developing Committee. Minds Manual for Guideline Development 2020 Version 3.0. [Internet]. Tokyo: Japan Council for Quality Health Care; 2021 [cited 2024 Mar 21]. Available from: https://minds.jcqhc.or.jp/s/manual_2020_3_0
1. Fujiya M, Sakatani A, Dokoshi T et al. A bamboo joint‐like appearance is a characteristic finding in the upper gastrointestinal tract of Crohn's disease patients: A case–control study. Medicine 2015; 94: e1500.
1. Hori K, Ikeuchi H, Nakano H et al. Gastroduodenitis associated with ulcerative colitis. J Gastroenterol 2008; 43: 193–201.
1. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition, Colitis Foundation of America, Bousvaros A et al. Differentiating ulcerative colitis from Crohn disease in children and young adults: Report of a working group of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the Crohn's and Colitis Foundation of America. J Pediatr Gastroenterol Nutr 2007; 44: 653–674.
1. Oliva S, Thomson M, de Ridder L et al. Endoscopy in pediatric inflammatory bowel disease: A position paper on behalf of the Porto IBD Group of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2018; 67: 414–430.

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

Japan Gastroenterological Endoscopy Society

LinkOut - more resources

Full Text Sources
- Ovid Technologies, Inc.
- Wiley

[1] Minds Manual Developing Committee. Minds Manual for Guideline Development 2020 Version 3.0. [Internet]. Tokyo: Japan Council for Quality Health Care; 2021 [cited 2024 Mar 21]. Available from: https://minds.jcqhc.or.jp/s/manual_2020_3_0

[2] Minds Manual Developing Committee. Minds Manual for Guideline Development 2020 Version 3.0. [Internet]. Tokyo: Japan Council for Quality Health Care; 2021 [cited 2024 Mar 21]. Available from: https://minds.jcqhc.or.jp/s/manual_2020_3_0

[3] Fujiya M, Sakatani A, Dokoshi T et al. A bamboo joint‐like appearance is a characteristic finding in the upper gastrointestinal tract of Crohn's disease patients: A case–control study. Medicine 2015; 94: e1500.

[4] Fujiya M, Sakatani A, Dokoshi T et al. A bamboo joint‐like appearance is a characteristic finding in the upper gastrointestinal tract of Crohn's disease patients: A case–control study. Medicine 2015; 94: e1500.

[5] Hori K, Ikeuchi H, Nakano H et al. Gastroduodenitis associated with ulcerative colitis. J Gastroenterol 2008; 43: 193–201.

[6] Hori K, Ikeuchi H, Nakano H et al. Gastroduodenitis associated with ulcerative colitis. J Gastroenterol 2008; 43: 193–201.

[7] North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition, Colitis Foundation of America, Bousvaros A et al. Differentiating ulcerative colitis from Crohn disease in children and young adults: Report of a working group of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the Crohn's and Colitis Foundation of America. J Pediatr Gastroenterol Nutr 2007; 44: 653–674.

[8] North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition, Colitis Foundation of America, Bousvaros A et al. Differentiating ulcerative colitis from Crohn disease in children and young adults: Report of a working group of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the Crohn's and Colitis Foundation of America. J Pediatr Gastroenterol Nutr 2007; 44: 653–674.

[9] Oliva S, Thomson M, de Ridder L et al. Endoscopy in pediatric inflammatory bowel disease: A position paper on behalf of the Porto IBD Group of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2018; 67: 414–430.

[10] Oliva S, Thomson M, de Ridder L et al. Endoscopy in pediatric inflammatory bowel disease: A position paper on behalf of the Porto IBD Group of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2018; 67: 414–430.

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Guidelines for endoscopic diagnosis and treatment of inflammatory bowel diseases

Affiliations

Guidelines for endoscopic diagnosis and treatment of inflammatory bowel diseases

Authors

Affiliations

Abstract

Similar articles

Cited by

References

REFERENCE

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Abstract

Similar articles

Cited by

References

REFERENCE

Publication types

MeSH terms

Related information

Grants and funding

LinkOut - more resources

Full Text Sources