Department of Internal Medicine, UZ Gasthuisberg, Leuven, Belgium.
Department of Pneumology, AZ Groeninge, Kortrijk, Belgium.
Acta Gastroenterol Belg. 2023 Apr-Jun;86(2):367-370. doi: 10.51821/86.2.7758.
Inflammatory bowel disease (IBD) predominantly affects the gastro-intestinal tract. There is however a large array of extra intestinal manifestations (EIM) associated with these diseases. A lesser known EIM is pulmonary involvement, which has been first described in 1973. Since the introduction of HRCT more attention is guided towards this specific involvement. Awareness of pulmonary involvement in IBD-patients may lead to better screening, guide appropriate therapy, and ultimately result in better patient care. When untreated, serious and persisting complications, such as stenosis or strictures of the large airways, as well as bronchiectasis or bronchiolitis obliterans might occur.
炎症性肠病(IBD)主要影响胃肠道。然而,这些疾病还伴有大量的肠外表现(EIM)。一种鲜为人知的肠外表现是肺部受累,这在 1973 年首次被描述。自从引入高分辨率 CT(HRCT)以来,人们对这种特定的受累情况给予了更多的关注。对 IBD 患者肺部受累的认识可能会导致更好的筛查、指导适当的治疗,并最终改善患者的护理。如果不进行治疗,可能会出现严重且持续的并发症,如大气道狭窄或梗阻,以及支气管扩张或闭塞性细支气管炎。