DeFilippis Ersilia M, Sockolow Robbyn, Barfield Elaine
Weill Cornell Medical College, New York, New York.
Weill Cornell Medical College, New York, New York
Pediatrics. 2016 Sep;138(3). doi: 10.1542/peds.2015-1971. Epub 2016 Aug 3.
Nearly one-quarter of patients with inflammatory bowel disease (IBD) are younger than 20 years of age at diagnosis. Furthermore, the incidence of IBD in children continues to increase. Nevertheless, variation in management exists within the care of patients with IBD with regards to disease screening and preventive care. A multidisciplinary approach that involves the general practitioner and pediatric gastroenterologist is needed to routinely monitor growth, bone health, vitamin and mineral deficiencies, vaccination status, and endoscopic surveillance. It is also important to monitor for extraintestinal manifestations of IBD that may affect the liver, joints, skin, and eyes. The purpose of this article is to provide an updated overview of comprehensive care for pediatric patients with IBD.
近四分之一的炎症性肠病（IBD）患者在确诊时年龄小于20岁。此外，儿童IBD的发病率持续上升。然而，在IBD患者的护理中，疾病筛查和预防性护理方面的管理存在差异。需要一种多学科方法，包括全科医生和儿科胃肠病学家，来定期监测生长发育、骨骼健康、维生素和矿物质缺乏情况、疫苗接种状况以及内镜监测。监测可能影响肝脏、关节、皮肤和眼睛的IBD肠外表现也很重要。本文旨在提供对IBD儿科患者综合护理的最新概述。
