Hugot Jean-Pierre, Bellaiche Marc
INSERM U843, Université Paris VII, 48 Bd Serurier, Paris, 75019, France.
Pediatr Radiol. 2007 Nov;37(11):1065-70. doi: 10.1007/s00247-007-0573-3. Epub 2007 Sep 25.
Inflammatory bowel diseases (IBDs), including Crohn disease (CD) and ulcerative colitis (UC), often affect children and adolescents. Their diagnosis is based on the integration of clinical, biological, endoscopic, histological and radiological data. The paediatric radiologist may help the clinician in many ways. In children presenting with symptoms compatible with IBD, gut exploration by US may identify those who will benefit from more invasive explorations including endoscopy. During the process of diagnosis, small bowel exploration has a crucial role in differentiating CD from UC and in classifying the disease into subphenotypes. Finally, new imaging methods are useful during patient follow-up for assessing disease activity and for the diagnosis of complications.
炎症性肠病（IBD），包括克罗恩病（CD）和溃疡性结肠炎（UC），常影响儿童和青少年。其诊断基于临床、生物学、内镜、组织学和放射学数据的综合判断。儿科放射科医生可以在很多方面帮助临床医生。对于出现与IBD相符症状的儿童，超声肠道检查可以识别出那些将从包括内镜检查在内的更具侵入性的检查中获益的患儿。在诊断过程中，小肠检查在区分CD与UC以及将疾病分类为不同亚型方面起着关键作用。最后，新的成像方法在患者随访期间对于评估疾病活动度和诊断并发症很有用。
