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炎症性肠病(IBD)是一组特发性、慢性、炎症性肠道疾病状态,包括两种主要类型:克罗恩病(CD)和溃疡性结肠炎(UC),两者的临床和病理特征既有重叠又有区别。IBD过去常见于发达国家,近几十年,发展中国家的患病率逐步上升。本指南就IBD诊断和治疗方面提出的独特议题在当前的文献和指南中几乎从未被提及。由于各地区的IBD临床特点差异较大,因此根据患者的主诉诊断IBD或评估疾病活动度需随地区的变化而变化。同样,治疗亦应根据疾病的分类和当地医疗资源进行调整。世界胃肠病学组织根据世界各国医疗资源的差异,采用级联方法制订了IBD的诊疗指南。
Inflammatory bowel disease (IBD) is a group of idiopathic, chronic, inflammatory bowel disease states that include two major types: Crohn’s disease (CD) and ulcerative colitis (UC), both clinical and Pathological characteristics of both overlapping and different. IBD used to be common in developed countries. In recent decades, the prevalence rate of developing countries has gradually risen. The unique issues raised in this guide in the area of IBD diagnosis and treatment are almost never mentioned in the current literature and guidelines. Because of the wide range of clinical characteristics of IBD in each region, the diagnosis of IBD based on patient complaints or the assessment of disease activity varies with the region. Similarly, the treatment should be adjusted according to the classification of the disease and local medical resources. According to the differences of medical resources in different countries in the world, the World Gastroenterology Organization adopts the concatenation method to formulate the diagnosis and treatment guidelines for IBD.