Ginard Daniel, Fontanillas Noelia, Bastón-Rey Iria, Pejenaute M Elena, Piqueras Marta, Alcalde Silvia, Nos Pilar, Ricote Mercedes, Expósito Lucía, Mañosa Míriam, Barreiro-de Acosta Manuel, Rodríguez-Moranta Francisco, Zabana Yamile, Polo José, Gutiérrez Ana
Servicio de Aparato Digestivo/IDISBA, Hospital Universitario Son Espases, Palma de Mallorca, España; Miembro de GETECCU.
Medicina Familiar y Comunitaria, Centro de Salud Bezana, Santa Cruz de Bezana, Cantabria, España; Miembro del grupo de trabajo de Aparato Digestivo de SEMERGEN.
Semergen. 2025 Apr;51(3):102334. doi: 10.1016/j.semerg.2024.102334. Epub 2025 Jan 20.
Primary Care is the first point of contact for most patients after the onset of symptoms of inflammatory bowel disease (IBD). Establishing an initial diagnostic process based on compatible symptoms and agreed criteria and referral pathways, depending on the degree of suspicion and the patient's situation, can reduce diagnostic delays. Once the patient is referred to the Digestive specialist and the diagnosis of IBD is established, a treatment and follow-up plan is structured. The management of the patient must be shared with the participation of the family practitioners in the diagnosis and treatment of concomitant or intercurrent pathologies, the recognition of flare-ups or complications (of IBD or treatments), education tasks or adherence control. With the purpose of developing a comprehensive guide on the management of IBD aimed at Primary Care doctors, we have developed this positioning document collaboratively between the Spanish Society of Primary Care Physicians (SEMERGEN) and the Spanish Working Group on Crohn's Disease and Ulcerative Colitis (GETECCU).
基层医疗是大多数炎症性肠病（IBD）患者出现症状后的首个接触点。根据兼容的症状、商定的标准以及转诊途径建立初始诊断流程，这取决于怀疑程度和患者情况，可减少诊断延迟。一旦患者被转诊至消化专科医生处并确诊为IBD，便制定治疗和随访计划。患者的管理必须有家庭医生参与，包括诊断和治疗伴随或并发疾病、识别（IBD或治疗的）病情复发或并发症、开展教育工作或进行依从性控制。为了为基层医疗医生编写一份关于IBD管理的综合指南，西班牙基层医疗医生协会（SEMERGEN）和西班牙克罗恩病与溃疡性结肠炎工作组（GETECCU）合作编写了本定位文件。
