Ricci C, Lanzarotto F, Lanzini A
Gastroenterology Unit, University and Spedali Civili of Brescia, Brescia, Italy.
Dig Liver Dis. 2008 Jul;40 Suppl 2:S285-8. doi: 10.1016/S1590-8658(08)60539-3.
Crohn's disease (CD) and ulcerative colitis (UC) are inflammatory bowel diseases (IBD) characterized by a relapsing clinical pattern that typically affect people during their adult and economically productive lives. Affected patients require clinical follow-up because of periodic disease flare-up and of the risk of long-term complications. Extensive diagnostic procedures, medical and surgical treatments are often needed over a lifetime. The challenge posed by management of IBD is better faced by a multidisciplinary team that includes health care providers with complementary diagnostic or therapeutic skills. The team is expected to provide the best practice to manage IBD by defining a realistic "diagnostic and therapeutic pathway" for the patients to follow based on locally available professional, structural and technological resources. This approach appears to improve quality of care for IBD patients and to be cost-effective.
克罗恩病（CD）和溃疡性结肠炎（UC）是炎症性肠病（IBD），其临床特征为病情反复，通常在患者成年且处于经济生产期时发病。由于疾病会周期性发作以及存在长期并发症的风险，患病患者需要临床随访。在患者的一生中，往往需要进行广泛的诊断程序、药物治疗和手术治疗。由具备互补诊断或治疗技能的医疗保健提供者组成的多学科团队，能更好地应对IBD管理带来的挑战。该团队应根据当地可获得的专业、结构和技术资源，为患者确定一条切实可行的“诊断和治疗路径”，从而提供管理IBD的最佳实践。这种方法似乎能提高IBD患者的护理质量且具有成本效益。
