Consenso de endoscopia en enfermedad inflamatoria intestinal de la Organización Panamericana de Crohn y Colitis (PANCCO) y la Sociedad Interamericana de endoscopia (SIED)
DOI:
https://doi.org/10.47892/rgp.2024.442.1713Palabras clave:
Enfermedades inflamatorias del intestino, Enfermedad de Crohn, Colitis ulcerosa, Endoscopía, Diagnóstico, TerapiaResumen
Introducción: La endoscopia juega un papel fundamental en la enfermedad inflamatoria intestinal (EII), y se hace esencial en el diagnóstico, monitoreo del tratamiento, y detección y manejo de complicaciones. Materiales y métodos: la Organización Panamericana de Crohn y Colitis (PANCCO) la Sociedad Interamericana de endoscopia (SIED) designó 22 expertos latinoamericanos en EII para desarrollar un estudio de consenso utilizando el método Delphi modificado, basado utilizando la mejor evidencia disponible. Un grupo de trabajo de 22 miembros de 9 países, se identificaron 15 temas y formularon 98 declaraciones, quienes participaron en 2 rondas de votación. Se definió como el acuerdo de ≥80% de los expertos para cada declaración. Resultados: Posterior a la votación de todas las afirmaciones, se obtuvieron 8 afirmaciones que no alcanzaron el 80% de consenso entre los participantes, por lo cual se replantearon las preguntas en el Comité Coordinador del consenso con la participación de los expertos revisores de dichas preguntas y se sometieron de nuevo a votación por todos los expertos en una segunda ronda 7 afirmaciones finales y 1 fue eliminada con consenso. Después de dos rondas de votación, los expertos lograron consenso con revisión de la literatura con la mejor evidencia disponible, se desarrollaron los temas más importantes con la evidencia científica que soporta cada una de las afirmaciones alrededor del tema de endoscopia en EII. Conclusiones: Se desarrollaron declaraciones en consenso y basadas en la mejor evidencia disponible acerca de la endoscopia en enfermedad inflamatoria intestinal.
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Derechos de autor 2024 Viviana Parra-Izquierdo, Fabio Leonel Gil-Parada, Fabian Juliao-Baños, Carolina Pavez-Ovalle, William Otero-Regino, Juan Sebastian Frías-Ordoñez, Asadur Tchekmedyian, Juan Eloy Paredes Mendez, Rodrigo Dorelo, Kenneth Ernest-Suarez, Marcos Leites Madera, María Teresa Galiano, Ximena Pazos, María Luisa Jara-Alaba, Carla María Dias de Oliveira, Keyla Villa Ovalles, Rodrigo Quera, María Carolina Miranda, Lázaro Antonio Arango Molano, Fabian Eduardo Puentes Manosalva, Cyrla Zaltman, Cristian Florez-Sarmiento, Cristina Flores, David Andrade Zamora, Fernando Fluxa, Guillermo Veitia
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