儿童性直肠炎的病程:SIGENPIBD集团委托的一项基于人口的研究
Massimo Martinelli1, Flora Fedele1, Claudio Romano2
1Department of Translational Medical Science, Section of Pediatrics, University of Naples "Federico II", Via S. Pansini, 5, Naples 80131, Italy.
概括
儿科性直肠炎 (UP) 的结果与其他性结肠炎的结果相似. 诊断时的高疾病活动预测了UP儿童的疾病扩散.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 炎症性肠道疾病研究研究
- 性结肠炎的自然历史
背景情况:
- 儿科人群中性直肠炎 (UP) 的自然史仍未得到充分研究.
- 了解UP的课程对于有效的儿科IBD管理至关重要.
研究的目的:
- 将儿科性直肠炎 (UP) 的病程与其他性结肠炎 (UC) 位置进行比较.
- 确定诊断为UP的儿童中疾病扩散的预测因素.
主要方法:
- 一个多中心的观察性研究,使用SIGENP-IBD-Registry.
- 包括患有UC的儿童和至少1年的随访.
- 使用巴黎分类识别了UP患者,并将其与其他疾病位置进行了比较.
主要成果:
- 在872名儿童中,78人 (9%) 患有UP. 与E3组 (8.5%,24.9%,60.1%) 相比,E1组 (1,5,10年) 的疾病延长概率在E1组 (20.3%,52.7%,72.4%) 中较高.
- 在E1和E2组之间没有发现扩展的显著差异.
- 在诊断时,高儿科性结肠炎活动指数 (PUCAI > 35) 预测内镜延伸 (HR=4.9).
结论:
- 儿科性直肠炎 (UP) 的短期和长期结果与其他性结肠炎疾病的位置相似.
- 诊断时的疾病活动是影响儿科UP疾病进展的关键因素.
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