Manolakis Catherine S, Farraye Francis A, Di Palma Jack A
Dr. Manolakis is a Fellow in the Division of Gastroenterology and a Clinical Instructor in Medicine at the University of South Alabama College of Medicine in Mobile, Alabama. Dr. Farraye is a Professor in the Department of Gastroenterology at Boston University School of Medicine in Boston, Massachusetts. Dr. Di Palma is a Professor of Medicine, Director of the USA Digestive Health Center, and Director of the Division of Gastroenterology, all at the University of South Alabama College of Medicine in Mobile, Alabama.
Gastroenterol Hepatol (N Y). 2013 Jan;9(1):16-20.
The diagnosis and subsequent management of Crohn's disease are challenging for both the patient and the gastroenterologist. After the initial assessment, subsequent visits should assess the patient's readiness to begin therapy, monitor progress if therapy has been initiated, assess for complications of the disease or therapy, and ensure that all appropriate health maintenance measures are current. This article is intended to be a companion to our earlier paper "Crohn's Disease: The First Visit," which was published in Gastroenterology & Hepatology in March 2011. This article will offer a methodologic and sequential approach to subsequent office visits, as well as provide a checklist for the assessment of Crohn's disease.
克罗恩病的诊断及后续治疗对患者和胃肠病学家而言都颇具挑战。在初始评估之后，后续的就诊应评估患者开始治疗的意愿，若已开始治疗则监测进展情况，评估疾病或治疗的并发症，并确保所有适当的健康维护措施均已落实。本文旨在作为我们之前发表于2011年3月《胃肠病学与肝病学》杂志的论文《克罗恩病：初诊》的补充。本文将提供一种针对后续门诊就诊的方法学和循序渐进的方法，并给出一份克罗恩病评估清单。
