Therapeutic advances in gastroenterology · 2025
Asia Pacific association of gastroenterology consensus statements on histopathological evaluation of inflammatory bowel diseases.
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Leong Rupert W, Chaemsupaphan Thanaboon, Lin Huiyu, Chian Lim Wee, Ooi Choon Jin, Chetwood John D, Mao Ren, Wu Hsin Yun, Wei Shu Chen, Makharia Govind, Ahuja Vineet, Banerjee Rupa, Atreya Raja, Limsrivilai Julajak, Aniwan Satimai, Pisespongsa Pises, Hilmi Ida, Raja Ali Raja Affendi, Leung Wai Keung, Ng Siew C, Ye Byong Duk, Kobayashi Taku, Matsuoka Katsuyoshi, Chau Cora, Sanpavat Anapat, Shun Chia-Tung, Puspanathan Pavitratha, Gearry Richard B, Danese Silvio, Ma Christopher, Pudipeddi Aviv, Paramsothy Sudarshan
Аннотация
BACKGROUND: Mucosal histological activity is increasingly valued as a treatment endpoint in inflammatory bowel diseases (IBD). In the Asia Pacific region, the utility and acceptability of IBD histology as a treatment endpoint are uncertain due to the heterogeneity of IBD prevalence, resourcing and level of knowledge among practitioners. There is an opportunity to engage clinicians to harmonise histology reporting and collaborate with pathologists in this field.
OBJECTIVES: We aimed to develop consensus statements through anonymous voting on histological features, processing, reporting and relevance to treatment outcomes in IBD, including ulcerative colitis (UC) and Crohn's disease (CD).
DESIGN: The consensus document was developed through a comprehensive literature review, followed by a deliberation process among experts in the field.
METHODS: Representatives of the Asia Pacific Association of Gastroenterology, in collaboration with pathologists, voted anonymously in accordance with modified Delphi methodology on statements relevant to IBD and histology. Domains of interest were histological features of UC and CD, relevance to clinical management and the potential utility of artificial intelligence (AI) in grading histological disease severity. Level of evidence and recommendation grade were included in accordance with the National Health and Medical Research Council, Australia guidelines of Australia.
RESULTS: Consensus was reached on 37 out of 38 statements concerning definitions, pathology processing and reporting, scoring system and relevance to clinical outcomes. Knowledge gaps were identified with uncertainty over the role of AI.
CONCLUSION: These consensus statements provide recommendations, with specific relevance to the Asia Pacific region, on the role of histology in IBD to harmonise its use. The statements will promote understanding and applicability in research and in the routine management of IBD.
OBJECTIVES: We aimed to develop consensus statements through anonymous voting on histological features, processing, reporting and relevance to treatment outcomes in IBD, including ulcerative colitis (UC) and Crohn's disease (CD).
DESIGN: The consensus document was developed through a comprehensive literature review, followed by a deliberation process among experts in the field.
METHODS: Representatives of the Asia Pacific Association of Gastroenterology, in collaboration with pathologists, voted anonymously in accordance with modified Delphi methodology on statements relevant to IBD and histology. Domains of interest were histological features of UC and CD, relevance to clinical management and the potential utility of artificial intelligence (AI) in grading histological disease severity. Level of evidence and recommendation grade were included in accordance with the National Health and Medical Research Council, Australia guidelines of Australia.
RESULTS: Consensus was reached on 37 out of 38 statements concerning definitions, pathology processing and reporting, scoring system and relevance to clinical outcomes. Knowledge gaps were identified with uncertainty over the role of AI.
CONCLUSION: These consensus statements provide recommendations, with specific relevance to the Asia Pacific region, on the role of histology in IBD to harmonise its use. The statements will promote understanding and applicability in research and in the routine management of IBD.