Asia Pacific association of gastroenterology consensus statements on histopathological evaluation of inflammatory bowel diseases.
Journal
Therapeutic Advances in Gastroenterology
Journal Volume
18
ISSN
1756-283X
Date Issued
2025
Author(s)
Leong, Rupert W
Chaemsupaphan, Thanaboon
Lin, Huiyu
Chian Lim, Wee
Ooi, Choon Jin
Chetwood, John D
Mao, Ren
Wu, Hsin Yun
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
Puspanathan, Pavitratha
Gearry, Richard B
Danese, Silvio
Ma, Christopher
Pudipeddi, Aviv
Paramsothy, Sudarshan
Abstract
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.
Subjects
Crohn’s disease
consensus
histology
inflammatory bowel disease
ulcerative colitis
Publisher
SAGE Publications Ltd
Type
journal article