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[粪便钙卫蛋白在炎症性肠病中的作用]

[Fecal Calprotectin in Inflammatory Bowel Disease].

作者信息

Lee Jun

机构信息

Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, Korea.

出版信息

Korean J Gastroenterol. 2016 May 25;67(5):233-7. doi: 10.4166/kjg.2016.67.5.233.

Abstract

Inflammatory bowel disease (IBD), Crohn's disease and ulcerative colitis comprise conditions characterized by chronic, relapsing immune activation and inflammation within the gastrointestinal tract. Objective estimation of intestinal inflammation is the mainstay in the diagnosis and observation of IBD, but is primarily dependent on expensive and invasive procedures such as endoscopy. Therefore, a simple, noninvasive, inexpensive, and accurate test would be extremely important in clinical practice. Fecal calprotectin is a calcium-containing protein released into the lumen that is excreted in feces during acute and chronic inflammation. It is well-researched, noninvasive, and has high sensitivity and specificity for identification of inflammation in IBD. This review will focus on the use of fecal calprotectin to help diagnose, monitor, and determine treatment in IBD.

摘要

炎症性肠病(IBD)、克罗恩病和溃疡性结肠炎是一类以胃肠道内慢性复发性免疫激活和炎症为特征的疾病。对肠道炎症进行客观评估是IBD诊断和观察的主要依据,但主要依赖于诸如内窥镜检查等昂贵且具有侵入性的程序。因此,一种简单、非侵入性、廉价且准确的检测方法在临床实践中极为重要。粪便钙卫蛋白是一种在急性和慢性炎症期间释放到肠腔并随粪便排出的含钙蛋白质。它经过充分研究,具有非侵入性,并且对IBD炎症的识别具有高敏感性和特异性。本综述将聚焦于粪便钙卫蛋白在IBD诊断、监测及治疗决策中的应用。

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