常见的诊断挑战和陷在分段性结肠炎与椎病 (SCAD) 相关
Caterina Sbarigia1, Camilla Ritieni1, Bruno Annibale1
1Department of Medical-Surgical Sciences and Translational Medicine, Sapienza University, 00189 Rome, Italy.
由于症状和发现的多样性,诊断与分歧结肠炎 (SCAD) 相关的细分结肠炎具有挑战性. 改进的诊断标准和活检方案对于准确的SCAD鉴定至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠疾病 结肠直肠疾病
- 炎症性肠道疾病是什么
背景情况:
- 细分性结肠炎与分泌突症 (SCAD) 相关,由于异质的临床,内镜和组织学特征,存在诊断挑战.
- 准确的诊断对于适当的患者管理至关重要.
研究的目的:
- 在研究中审查SCAD的诊断标准.
- 为了突出SCAD诊断当前的挑战和陷.
主要方法:
- 一篇关于14项研究的叙述性综述,主要是前性观察性研究.
- 分析报告的诊断标准,内镜检查结果,活检方案和药物评估.
主要成果:
- 血和直肠出血是常见的症状.
- 内镜描述通常不完整,标准化活检采样很少 (28.5%).
- 在内镜和组织学发现中观察到显著的异质性.
结论:
- SCAD诊断经常受到不充分的结肠描述和有限的活检样本采集的阻碍.
- 全面的临床评估,彻底的内镜评估,标准化活检和差异诊断对于及时的SCAD诊断至关重要.
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