Diagnosis and management of inflammatory bowel disease in children

被引:90
|
作者
Oliveira, Stephanie B. [1 ]
Monteiro, Iona M. [2 ]
机构
[1] Cincinnati Childrens Hosp Med Ctr, Ringgold Stand Inst, Cincinnati, OH 45229 USA
[2] Rutgers New Jersey Med Sch, Ringgold Stand Inst Pediat, Newark, NJ 07103 USA
来源
关键词
PEDIATRIC CROHNS-DISEASE; SEVERE ULCERATIVE-COLITIS; NASPGHAN CLINICAL REPORT; EVIDENCE-BASED CONSENSUS; POUCH-ANAL ANASTOMOSIS; INFLIXIMAB THERAPY; ENTERAL NUTRITION; NATURAL-HISTORY; CAPSULE ENDOSCOPY; COLORECTAL-CANCER;
D O I
10.1136/bmj.j2083
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Inflammatory bowel diseases (IBD), including Crohn's disease and ulcerative colitis, are lifelong conditions that often begin in childhood. The implications of IBD are of particular importance in children because of the potential negative effects on growth, development, psychosocial function, and overall wellbeing. The key management strategy is to achieve sustained control of intestinal inflammation and monitor for potential complications of the disease and side effects of therapies. Overall, the evidence on the management of IBD in children is less extensive than in adults, but good quality multicenter studies and various guidelines and society consensus statements are available. This review summarizes the evidence on the pathophysiology, diagnosis, and approaches to management of children and adolescents with IBD.
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收藏
页数:15
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