Büller H A, Maas S M
Academisch Medisch Centrum/Het Kinder-AMC, afd. Kindergeneeskunde, Amsterdam.
Ned Tijdschr Geneeskd. 1996 Mar 9;140(10):544-50.
Members of different societies, including Paediatrics, Gastroenterology, Clinical Chemistry, Radiology and Pathology, involved in the treatment of children with inflammatory bowel disease (IBD) reached consensus during 12 meetings about definition, clinical and diagnostic work-up as well as initial treatment options in paediatric IBD. On the basis of history and physical examination a distinction is made between colitis-like or Crohn-like appearance. Further laboratory investigations are required in the presence of malnutrition, extraintestinal manifestations or growth retardation. Pathology plays an important part in the final diagnosis. Special attention is given to pubertal staging and height measurements as routine aspects of the treatment of children with IBD.
包括儿科学、胃肠病学、临床化学、放射学和病理学在内的不同学会中参与儿童炎症性肠病（IBD）治疗的成员，在12次会议期间就儿童IBD的定义、临床及诊断检查以及初始治疗方案达成了共识。根据病史和体格检查，区分结肠炎样或克罗恩病样表现。存在营养不良、肠外表现或生长发育迟缓时需要进一步的实验室检查。病理学在最终诊断中起着重要作用。青春期分期和身高测量作为IBD患儿治疗的常规方面受到特别关注。
