区分IBD与肠道炎的其他原因的实用方法
Ida Hilmi1, Nik Arsyad Nik Muhammad Affendi2, Xin-Hui Khoo1
1Division of Gastroenterology & Hepatology, Department of Medicine, Faculty of Medicine University Malaya Kuala Lumpur Malaysia.
JGH open : an open access journal of gastroenterology and hepatology
|November 28, 2025
概括
在亚洲,诊断炎症性肠病 (IBD) 是具有挑战性的,因为它具有非特异性症状,并且很难将其与肠结核病等感染区分开来. 仔细的临床评估和调查是准确IBD诊断的关键.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 炎症性肠病 (IBD) 诊断在亚洲面临着独特的挑战.
- 缺少一个黄金标准,需要对IBD采取多方面的诊断方法.
- 区分IBD与传染性模仿,特别是肠结核 (ITB),是一个重要的临床困境.
研究的目的:
- 突出在亚洲背景下IBD的诊断挑战.
- 强调整合IBD的各种诊断方式的重要性.
- 提供关于区分IBD与ITB等疾病的指导.
主要方法:
- 在IBD诊断中使用的临床,内镜,放射和组织学特征的审查.
- 对差异诊断的分析,重点是区分IBD与感染性病因,如ITB.
- 讨论诊断策略,包括病史,有针对性的调查和病原学.
主要成果:
- 没有一种单一的诊断方法是专门针对IBD的.
- 临床,内镜,放射学和组织学发现往往是非特定的.
- 从ITB区分克罗恩病 (CD) 需要仔细评估.
结论:
- 在大多数情况下,通过全面的评估,可以获得最终的IBD诊断.
- 当诊断仍然不确定时,可以开始实证治疗,需要随后重新评估.
- 准确区分IBD与传染病对于适当的患者管理至关重要.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
617
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...
617
Inflammatory Bowel Disease I: Ulcerative Colitis
862
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
862
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
710
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
710
Inflammatory Bowel Disease II: Crohn's Disease
925
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...
925
Inflammatory Bowel Disease V: Surgical Management
428
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
428
Chronic Bowel Disorders: Introduction
734
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...
734


