相关实验视频
Updated: Jun 8, 2025

05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
540
克罗恩病的医生依赖的诊断延迟:伪命题还是不是?
Yan Zeng1, Jun-Wen Zhang2, Jian Yang3
1Department of Psychology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.
World journal of gastroenterology
|November 4, 2024
概括
炎症性肠病 (IBD),特别是克罗恩病的诊断延迟是一个全球性的问题. 本分析研究了导致IBD诊断延迟的多方面的因素,旨在改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 临床研究 临床研究
背景情况:
- 炎症性肠病 (IBD) 的诊断延迟是影响患者护理的一个重要问题.
- IBD和非特异性症状的异质性导致诊断时间延长.
- 在全球范围内,在克罗恩病患者中,延迟诊断尤为明显.
研究的目的:
- 批判性地评估IBD诊断延迟的多因素原因.
- 超越对诊断延迟的简单归因,转向医生依赖因素.
- 确定未来的研究和临床实践需要改进的领域.
主要方法:
- 对IBD诊断时间表发表的证据的审查.
- 分析导致诊断延迟的因素.
- 探索影响诊断的现实世界的复杂性.
主要成果:
- 在IBD的诊断延迟是复杂的,并受到多种相互作用因素的影响.
- 仅仅将延误归咎于医生过度简化了这个问题.
- 要有效地解决这个问题,需要一个细微的理解.
结论:
- 解决IBD诊断延迟需要一个全面的战略,超出了以医生为中心的观点.
- 医疗保健提供者和政策制定者必须合作实施改进.
- 减少诊断延迟对于改善IBD患者的治疗结果至关重要.
相关概念视频
Inflammatory Bowel Disease II: Crohn's Disease
188
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
188
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
321
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
321
Chronic Bowel Disorders: Introduction
390
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
390
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
143
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
143
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
97
Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
97
Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70

