Vallot T, Merrouche M
Service de Gastro-entérologie, CHU Bichat, Paris.
Rev Prat. 1991 Feb 11;41(5):407-13.
The term inflammatory bowel diseases applies to two intestinal diseases (ulcerative colitis and Crohn's disease) localized to the colon. Clinical, morphological and histological data often point to one or the other of these diseases, but they are not always distinguishable, and intermediate forms classified under one name or the other are numerous. Lower digestive tract endoscopy and biopsies are determinant (1) for the diagnosis, as they provide a precise description of the lesions for each segment and evaluate their severity; (2) to monitor the course of the disease under treatment and detect precancerous lesions.
炎症性肠病这一术语适用于局限于结肠的两种肠道疾病(溃疡性结肠炎和克罗恩病)。临床、形态学和组织学数据常常指向这两种疾病中的一种,但它们并不总是能够区分,并且归类于其中一种疾病名下的中间形式众多。下消化道内镜检查和活检对于诊断具有决定性意义:(1)因为它们能对每个肠段的病变提供精确描述并评估其严重程度;(2)用于监测治疗过程中的疾病进程并检测癌前病变。