Exabis Library

1. To understand the role of advanced endoscopic technologies for  disease activity and  mucosal healing  assessment  in UC.
2. To review  the new Virtual Electronic Chromoendoscopy 'The PICaSSO''score  in UC and its correlation with histology 
3. To review  the new PICaSSO Histological Remission index in UC and its practicality 
3. To emphasise the implementation  of the  PICaSSO endoscopic  and histological scores into Artificial Intelligence  

Several surgical techniques have been described aiming perianal fistula healing in CD.
In this lecture, we will discuss evidence of the following approaches: advancement flaps, LIFT, anal plug, fibrin glue injection, VAAFS, stem cells, vaccum assisted dressing among others.
There is still no superior technique aiming healing of perianal fistulas in CD.
Treatment should be individualized.

1. Diagnosis of the uncommon mimickers of IBD, which should be morphologically distinguished as treatment is totally different from IBD. The mimickers discussed are infection, drugs, vascular disorders and immune-related disorders.

The characteristic histological features of inflammatory bowel disease are a disturbed crypt architecture, basal plasmocytosis and granulomas. Numerous diseases may clinically as well morphologically mimic IBD. Hence to make a diagnosis of IBD close communication between clinicians and pathologists is essential. Mimics of IBD include SCAD (segmental colitis associated with diverticulitis), diversion colitis, infections, drugs, vascular disorders and immune disorders, of which the latter are less common. In order that the pathologist can make a distinction between these mimics, information about the clinical  history, endoscopy, imaging, microbiology, serology is required. This information as well as subtle histological features may help in this differential diagnostic process. Exclusion of these mimickers is essential as they most commonly require a totally different treatment.