Division of Gastroenterology, University of California Davis, USA.
Autoimmun Rev. 2010 Mar;9(5):A372-8. doi: 10.1016/j.autrev.2009.11.008. Epub 2009 Nov 10.
Inflammatory bowel diseases (IBD) are chronic diseases of the intestinal tract which principally are composed of ulcerative colitis (UC) and Crohn's disease (CD). The prevalence and incidence of both forms of IBD have historically been higher in developed countries with decreasing North-South gradient. However, more recent evidence demonstrate changing demographics as countries become more developed and immigration increases from underdeveloped countries to developed countries. Typically these changes are marked by an increase in ulcerative colitis followed by an increase in CD. Thus, most if not all human populations appear to be susceptible to IBD under certain environmental influences. Several hypothesis have been advanced to explain these changing demographics including alterations in the bowel microflora, but direct experimental evidence is lacking in most cases. Celiac disease or gluten-sensitive enteropathy is a related inflammatory condition which is induced in susceptible individuals when exposed to gluten-containing foods. Similarly, the prevalence of celiac disease is increasing as the consumption of gluten-containing foods is increasing worldwide.
炎症性肠病(IBD)是一种慢性肠道疾病,主要包括溃疡性结肠炎(UC)和克罗恩病(CD)。历史上,溃疡性结肠炎和克罗恩病的发病率和患病率在发达国家较高,且呈北-南梯度下降趋势。然而,最近的证据表明,随着国家的发展和从欠发达国家向发达国家的移民增加,其人口统计学特征正在发生变化。通常,这些变化的特点是溃疡性结肠炎的发病率增加,随后克罗恩病的发病率也增加。因此,在某些环境影响下,大多数(如果不是全部的话)人类群体似乎都容易患 IBD。已经提出了几种假设来解释这些人口统计学特征的变化,包括肠道微生物群的改变,但在大多数情况下,缺乏直接的实验证据。乳糜泻或麸质敏感肠病是一种相关的炎症性疾病,当易患个体接触含麸质的食物时,会引发这种疾病。同样,随着全世界含麸质食物的消费增加,乳糜泻的患病率也在增加。
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