Rational use of diagnostic procedures in inflammatory bowel diseases

Gross, Volker and Herfarth, H. (2002) Rational use of diagnostic procedures in inflammatory bowel diseases. CHIRURGISCHE GASTROENTEROLOGIE, 18 (4). pp. 308-313. ISSN 0177-9990

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Abstract

The diagnostics of chronic inflammatory bowel diseases is based on patient's history, clinical findings, selected laboratory tests, and endoscopy plus histology. Making a diagnosis means to consider the results of various diagnostic procedures. Ileocolonoscopy is very important for establishing the initial diagnosis. The small bowel should be visualized as well (enteroclysis or MRI), in order to detect or to exclude Crohn's disease of the small bowel. During the follow-up, important information is provided by clinical examinations, laboratory tests and transabdominal ultrasound. Endoscopy is indicated when symptoms change, when complications occur or when important new therapeutic decisions have to be made (e.g. surgical resection). In patients with extensive ulcerative colitis, screening colonoscopies with multiple biopsies should be started after 8 years and performed every year. In Crohn's disease no guidelines for cancer screening exist.

Item Type: Article
Uncontrolled Keywords: ANTINEUTROPHIL CYTOPLASMIC AUTOANTIBODIES; ANTI-SACCHAROMYCES CEREVISIAE; MESENTERIC BLOOD-FLOW; CROHNS-DISEASE; ULCERATIVE-COLITIS; CLINICAL-FEATURES; NATURAL-HISTORY; ACCURACY; PREVALENCE; RELAPSE; Crohn's disease; ulcerative colitis; endoscopy; ultrasonography; radiology
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 21 Mar 2022 07:45
Last Modified: 21 Mar 2022 07:45
URI: https://pred.uni-regensburg.de/id/eprint/39593

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