Freeman H J
Can J Surg. 1984 Sep;27(5):431-3.
The evolution, in recent years, of concepts of inflammatory bowel disease in part reflect improved methods of defining disease, especially with modern microbiologic methods, endoscopy and mucosal biopsy. Although clinicians have focused on idiopathic ulcerative colitis and Crohn's disease, a host of new entities are now becoming recognized. Many of these are bacterial, such as Yersinia- or Campylobacter-associated enterocolitis. Thus, a "new" group of inflammatory bowel diseases has recently emerged, some with newly described pathologic features and others reflecting improved methods of detection with newer microbiologic methods. With evolving methods of recognition, other entities will likely be described as causes of inflammatory bowel disease.
近年来，炎症性肠病概念的演变在一定程度上反映了疾病定义方法的改进，尤其是现代微生物学方法、内镜检查和黏膜活检。尽管临床医生一直关注特发性溃疡性结肠炎和克罗恩病，但现在许多新的疾病实体正逐渐被认识。其中许多是细菌性的，如耶尔森菌或弯曲杆菌相关的小肠结肠炎。因此，最近出现了一组“新的”炎症性肠病，一些具有新描述的病理特征，另一些则反映了采用更新的微生物学方法后检测方法的改进。随着识别方法的不断发展，其他疾病实体可能也会被描述为炎症性肠病的病因。
