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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Mar 16, 2025; 17(3): 103834
Published online Mar 16, 2025. doi: 10.4253/wjge.v17.i3.103834
Published online Mar 16, 2025. doi: 10.4253/wjge.v17.i3.103834
Challenges and limitations in assessing mucosal healing in Crohn’s disease: Discrepancies between endoscopic and histologic evaluations
Arunkumar Krishnan, Department of Supportive Oncology, Atrium Health Levine Cancer, Charlotte, NC 28204, United States
Diptasree Mukherjee, Department of Biochemistry, All India Institute of Medical Sciences, Bhubaneswar 751019, Odisha, India
Author contributions: Krishnan A contributed to the concept of the study; Krishnan A and Mukherjee D drafted the manuscript, participated in the review and editing, and were involved with critically revising the manuscript for important intellectual content; and all authors reviewed and approved the final version of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Arunkumar Krishnan, MD, Assistant Professor, Department of Supportive Oncology, Atrium Health Levine Cancer, 1021 Morehead Medical Drive, Suite 70100, Charlotte, NC 28204, United States. dr.arunkumar.krishnan@gmail.com
Received: December 2, 2024
Revised: January 29, 2025
Accepted: February 12, 2025
Published online: March 16, 2025
Processing time: 102 Days and 7.3 Hours
Revised: January 29, 2025
Accepted: February 12, 2025
Published online: March 16, 2025
Processing time: 102 Days and 7.3 Hours
Core Tip
Core Tip: The recent study by Lee et al showed a significant discrepancy between endoscopic and histologic assessments in patients with ileal Crohn’s disease. However, the generalizability of these findings may be limited due to certain factors, such as the exclusion of specific patient groups, the single-center design of the study, and the potential under-sampling of inflammation. Future research should prioritize multi-center studies, creating Crohn’s specific histologic indices, and considering treatment regimen effects to improve our understanding and improve biopsy protocols for Crohn’s disease.