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亚洲炎症性肠病诊断面临的挑战

The Challenge of Inflammatory Bowel Disease Diagnosis in Asia.

作者信息

Li Yue, Qian Jia-Ming

机构信息

Division of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

出版信息

Inflamm Intest Dis. 2017 Apr;1(4):159-164. doi: 10.1159/000448384. Epub 2016 Aug 19.

DOI:10.1159/000448384
PMID:29922672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5988194/
Abstract

BACKGROUND

The current major clinical challenge relates to the accurate diagnosis of inflammatory bowel disease (IBD) in Asian countries with a high background prevalence of infections.

SUMMARY

The diagnosis of Crohn's disease in geographical areas where tuberculosis is endemic poses a major diagnostic challenge.

KEY MESSAGES

Infections can mimic IBD and complicate the course of existing IBD. Limited availability of diagnostic modalities and health service may delay diagnosis. A multidisciplinary approach, continuous medical education, and academic activities may warrant an accurate diagnosis of IBD.

摘要

背景

在感染背景患病率较高的亚洲国家，目前主要的临床挑战涉及炎症性肠病（IBD）的准确诊断。

总结

在结核病流行的地理区域，克罗恩病的诊断构成了一项重大的诊断挑战。

关键信息

感染可能模仿IBD并使现有IBD的病程复杂化。诊断方式和医疗服务的可及性有限可能会延迟诊断。多学科方法、持续医学教育和学术活动可能有助于IBD的准确诊断。

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The differentiation of amebic colitis from inflammatory bowel disease on endoscopic mucosal biopsies.通过内镜下黏膜活检鉴别阿米巴结肠炎与炎症性肠病。
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Computed tomographic enterography adds value to colonoscopy in differentiating Crohn's disease from intestinal tuberculosis: a potential diagnostic algorithm.计算机断层扫描小肠造影在鉴别克罗恩病与肠结核方面比结肠镜检查更具价值：一种潜在的诊断算法。
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Discriminating potential of extraintestinal systemic manifestations and colonoscopic features in Chinese patients with intestinal Behçet's disease and Crohn's disease.中国肠白塞病和克罗恩病患者肠外全身表现及结肠镜特征的鉴别潜力
Chin Med J (Engl). 2015 Jan 20;128(2):233-8. doi: 10.4103/0366-6999.149213.
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