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Clinical Aspects of Idiopathic Inflammatory Bowel Disease: A Review for Pathologists.

特发性炎症性肠病的临床特点:一篇为病理医师而写的综述

Lee H,Westerhoff M,Shen B,Liu X

Abstract

-Idiopathic inflammatory bowel disease manifests with different clinical phenotypes showing varying behavior and risk for neoplasia. The clinical questions that are posed to pathologists differ depending on phase of the disease and the clinical circumstances. Understanding the clinical aspects of the dynamic disease process will enhance the role of pathology in optimizing the care of patients with inflammatory bowel disease.
-To review clinical and surgical aspects of inflammatory bowel disease that are relevant to practicing pathologists.
-The literature was reviewed.
-Diagnosis and management of inflammatory bowel disease require an integrated evaluation of clinical, endoscopic, radiologic, and pathologic features. Therefore, close interaction between clinicians and pathologists is crucial. Having this team approach improves understanding of the pertinent clinical and surgical aspects of the disease and assists in the recognition of unusual presentation of variants, as well as mimics of idiopathic inflammatory bowel disease, by pathologists.

摘要

特发性炎症性肠病具有不同的临床表现,发展为肿瘤的可能性不一。呈现在病理医师面前的临床问题随着疾病的发展阶段和临床情况不同而不同。了解疾病临床方面的动态发展过程,能够促进病理学方面更好的解读特发性炎症性肠病

回顾性分析炎症性肠病中与执业病理医生相关的临床问题和外科问题。

对文献进行综述。

炎症性肠病的诊断和治疗,需要对其临床表现、内镜下特点,影像学资料和病理特征进行综合性评估。所以临床医生和病理医生之间的密切合作非常重要。这种团队的方式,有助于进一步理解疾病的临床特点,有助于对某些罕见变异病例的识别,以及对某些很难与特发性炎症性肠病鉴别的疾病进一步认知。

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