Walsh Anne, Mabee John, Trivedi Kashyap
Department of Family Medicine, University of Southern California, 1975 Zonal Avenue, KAM-B33, Los Angeles, CA 90033, USA.
Prim Care. 2011 Sep;38(3):415-32; vii. doi: 10.1016/j.pop.2011.06.001.
Crohn disease and ulcerative colitis are the most common forms of inflammatory bowel disease (IBD) likely to be encountered in primary care. Patient-centered care is essential for positive outcomes, and should include long-term continuity with an empathetic primary care provider who can provide skillful coordination of the requisite multidisciplinary approach. Early suspicion of the diagnosis and referral to expert gastroenterologists for confirmation and medical management is essential. Coordinating interdisciplinary consultations, including colorectal surgeons, radiologists, stoma therapists, psychologists, and rheumatologists, in combination with comprehensive patient education, is key to decreasing overall morbidity, mortality, and health care costs associated with IBD.
克罗恩病和溃疡性结肠炎是基层医疗中最常见的炎症性肠病（IBD）形式。以患者为中心的护理对于取得积极治疗效果至关重要，应包括与一位富有同情心的基层医疗提供者保持长期连续性，该提供者能够对必要的多学科方法进行熟练协调。早期怀疑诊断并转诊至专家胃肠病学家处进行确诊和医疗管理至关重要。协调包括结直肠外科医生、放射科医生、造口治疗师、心理学家和风湿病学家在内的多学科会诊，结合全面的患者教育，是降低与IBD相关的总体发病率、死亡率和医疗保健成本的关键。
