切换至 "中华医学电子期刊资源库"

中华消化病与影像杂志(电子版) ›› 2019, Vol. 09 ›› Issue (03) : 97 -99. doi: 10.3877/cma.j.issn.2095-2015.2019.03.001

所属专题: 文献

述评

当前炎症性肠病诊治中需注意的若干问题
陈利1, 朱风尚1,(), 杨长青1   
  1. 1. 200065 上海,同济大学附属同济医院消化科
  • 收稿日期:2019-04-26 出版日期:2019-06-01
  • 通信作者: 朱风尚
  • 基金资助:
    中央高校基本科研业务费专项资金(No:22120170246)

Several hot issues in the current diagnosis and treatment of inflammatory bowel disease

Li Chen1, Fengshang Zhu1,(), Changqing Yang1   

  1. 1. Department of Gastroenterology, Tongji Hospital of Tongji University, Shanghai 200065, China
  • Received:2019-04-26 Published:2019-06-01
  • Corresponding author: Fengshang Zhu
  • About author:
    Corresponding author: Zhu Fengshang, Email:
引用本文:

陈利, 朱风尚, 杨长青. 当前炎症性肠病诊治中需注意的若干问题[J/OL]. 中华消化病与影像杂志(电子版), 2019, 09(03): 97-99.

Li Chen, Fengshang Zhu, Changqing Yang. Several hot issues in the current diagnosis and treatment of inflammatory bowel disease[J/OL]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2019, 09(03): 97-99.

我国炎症性肠病患者逐年增多,但目前临床对其认识或重视仍显不足,亟待规范化地开展诊疗。根据同济大学附属同济医院消化科临床实践体会和文献报道,对当前炎症性肠病诊治中需注意的诊断、鉴别诊断、规范化个体化治疗的若干问题进行了分析,以期引起消化专科医师的重视。

In recent years, the number of patients with inflammatory bowel disease in China has increased dramatically, but it is currently underappreciated or underestimated in the clinical practice.It is urgent to carry out standardized diagnosis and treatment.In order to attract the attention of digestive specialists, according to personal clinical experience and literature reports, several hot issues in the diagnosis, differential diagnosis and standardized individualized treatment that should be taken extra care in the diagnosis and treatment of inflammatory bowel disease have been analyzed.

1
Maaser C, Sturm A, Vavricka SR, et al.ECCO-ESGAR Guideline for Diagnostic Assessment in IBD Part 1: Initial diagnosis, monitoring of known IBD, detection of complications[J]. J Crohns Colitis, 2019, 13(2): 144-164.
2
Sturm A, Maaser C, Calabrese E, et al.ECCO-ESGAR Guideline for Diagnostic Assessment in IBD Part 2: IBD scores and general principles and technical aspects[J]. J Crohns Colitis, 2019, 13(3): 273-284.
3
Jeong DY, Kim S, Son MJ, et al.Induction and maintenance treatment of inflammatory bowel disease: A comprehensive review[J]. Autoimmun Rev, 2019, 18(5): 439-454.
4
中华医学会消化病学分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见(2018年,北京)[J].中华消化杂志,2018,38(5):292-311.
5
Harbord M, Eliakim R, Bettenworth D, et al.Third European Evidence-based Consensus on Diagnosis and Management of Ulcerative Colitis.Part 2: Current Management[J]. J Crohns Colitis, 2017, 11(7): 769-784.
6
Peyrin-Biroulet L, Bouhnik Y, Roblin X, et al.French national consensus clinical guidelines for the management of Crohn′s disease[J]. Dig Liver Dis, 2017, 49(4): 368-377.
7
Santos AL, Coelho R, Silva M, et al.Infectious proctitis: a necessary differential diagnosis in ulcerative colitis[J]. Int J Colorectal Dis, 2019, 34(2): 359-362.
8
Craxford L, Fox A. Lymphogranuloma venereum: a rare and forgotten cause of rectal stricture formation[J]. Int J STD AIDS, 2018, 29(11): 1133-1135.
9
Onal IK, Kekilli M, Tanoglu A, et al.Tuberculosis and Crohn′s Disease Revisited[J]. J Coll Physicians Surg Pak, 2015, 25(6): 443-448.
10
Park DI, Hisamatsu T, Chen M, et al.Asian Organization for Crohn′s and Colitis and Asia Pacific Association of Gastroenterology consensus on tuberculosis infection in patients with inflammatory bowel disease receiving anti-tumor necrosis factor treatment.Part 2: Management[J]. J Gastroenterol Hepatol, 2018, 33(1): 30-36.
11
Kedia S, Das P, Madhusudhan KS, et al.Differentiating Crohn′s disease from intestinal tuberculosis[J]. World J Gastroenterol, 2019, 25(4): 418-432.
12
巫协宁,吴坚炯.克罗恩病和自身免疫[J].胃肠病学和肝病学杂志,2018,27 (10):1081-1085.
13
周颖婷,吴坚炯.盐酸舍曲林治疗溃疡性结肠炎伴抑郁的疗效[J].中华消化杂志,2015,35(9):595-598.
14
Barreiro-de Acosta M, Marín-Jiménez I, Panadero A, et al.Recommendations of the Spanish Working Group on Crohn′s Disease and Ulcerative Colitis (GETECCU) and the Association of Crohn′s Disease and Ulcerative Colitis Patients (ACCU) in the management of psychological problems in Inflammatory Bowel Disease patients[J]. Gastroenterol Hepatol, 2018, 41 (2): 118-127.
15
Kredel LI, Schneidereit O, Hoffmann JC, et al.Guideline recommendations for treatment of patients with inflammatory bowel diseases are not implemented in clinical practice-results of a non-representative survey[J]. Int J Colorectal Dis, 2019, 34(3): 431-440.
16
Brown SR, Fearnhead NS, Faiz OD, et al.The Association of Coloproctology of Great Britain and Ireland consensus guidelines in surgery for inflammatory bowel disease[J]. Colorectal Dis, 2018, 20 Suppl 8: 3-117.
17
中华医学会消化病学分会炎症性肠病学组.建立全国通用的炎症性肠病诊治过程的关键性质量控制指标的共识意见[J].中华炎性肠病杂志,2017,1(1):12-19.
18
Jeon SR, Chai J, Kim C, et al.Current Evidence for the Management of Inflammatory Bowel Diseases Using Fecal Microbiota Transplantation[J]. Curr Infect Dis Rep, 2018, 20(8): 21.
19
Verstockt B, Ferrante M, Vermeire S, et al.New treatment options for inflammatory bowel diseases[J]. J Gastroenterol, 2018, 53(5): 585-590.
20
Hibi T, Panaccione R, Katafuchi M, et al.The 5C Concept and 5S Principles in Inflammatory Bowel Disease Management[J]. J Crohns Colitis, 2017, 11(11): 1302-1308.
[1] 郭伟仪, 林沛玲. 不同抗体型幽门螺杆菌感染与溃疡性结肠炎患者疾病活动及组织学评分的关系[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(04): 237-244.
[2] 丁召, 李翊, 徐天天. 开腹探查+回盲部切除+小肠结肠吻合术[J/OL]. 中华普通外科学文献(电子版), 2024, 18(04): 281-281.
[3] 董晓斌, 张静, 苏莎莎, 莎比亚·沙吾提, 盛好. 溃疡性结肠炎患者相关环状RNA 差异表达谱分析及功能研究[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 499-509.
[4] 张剑明, 叶文慧, 牟廷裕, 蓝孝亮, 邓海军. 腹腔镜全结直肠切除、回肠J型储袋-肛管吻合术近期并发症及防治策略[J/OL]. 中华结直肠疾病电子杂志, 2023, 12(05): 388-395.
[5] 陈利, 杨长青, 朱风尚. 重视炎症性肠病和代谢相关脂肪性肝病间的串话机制研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(05): 385-389.
[6] 陈憩, 顾于蓓. 不同亚型上消化道克罗恩病的临床特点和预后差异研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(02): 121-127.
[7] 蒋心怡, 顾丹丹, 叶艳, 缪佳蓉. RNA测序研究抗菌肽KT2治疗溃疡性结肠炎的作用机制[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(01): 8-15.
[8] 陈娟, 胡晓华, 李洪梅, 王志军. CT小肠造影对克罗恩病的诊断评估价值[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(01): 41-44.
[9] 朱琴琴, 慈娟娟, 崔璐, 许海蓉, 李宇新, 丁炎波. 凝血功能、血脂、C反应蛋白及中性粒细胞/淋巴细胞水平对克罗恩病活动性评估及临床诊断的价值[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(01): 35-40.
[10] 刘萍, 刘占举, 张萃. 英夫利西单抗治疗克罗恩病的临床疗效及影响因素[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(01): 28-34.
[11] 吕涛, 张琨, 李晨. 芍黄安肠汤治疗重度活动期溃疡性结肠炎大肠湿热证患者的疗效及对肠黏膜屏障、炎症因子和免疫功能的影响[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(01): 16-20.
[12] 王秀, 王义国. 乌司奴单抗治疗克罗恩病肛周瘘管的有效性和安全性分析[J/OL]. 中华消化病与影像杂志(电子版), 2023, 13(06): 514-519.
[13] 屈霄, 王靓, 陆萍, 何斌, 孙敏. 外周血炎症因子及肠道菌群特征与活动性溃疡性结肠炎患者病情的相关性分析[J/OL]. 中华消化病与影像杂志(电子版), 2023, 13(06): 466-470.
[14] 王卫峰, 刘维薇. 血清胰蛋白酶2在克罗恩病炎症程度评估中的价值[J/OL]. 中华临床医师杂志(电子版), 2023, 17(12): 1304-1308.
[15] 黄锦, 温静, 李佳霖, 韩丹, 刘翠华, 杨殿辉, 张洋洋. 双联抗血小板药物对溃疡性结肠炎患者的影响及处理策略[J/OL]. 中华胃肠内镜电子杂志, 2024, 11(03): 195-199.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?