Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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La malattia cronica intestinale

INFLAMMATORY CHRONIC DISEASE

CONCETTA SFERLAZZAS, GIUSEPPE MAGAZZÙ

II Clinica Pediatrica, Policlinico Universitario, Messina

Novembre 2000 - pagg. 583 -587

Abstract
The incidence of inflammatory chronic disease (ICD) in childhood has increased in the last decades and this seems to be only partially due to increased diagnostic capability. The article describes the diagnostic guide-lines recently developed by the Italian Society of Pediatric Gastroenterology. The suggested approach includes for most cases where a ICD can be suspected a first diagnostic step based on basic laboratory examinations (CRP, ESR and blood count) and on ultrasound. The usefulness and indications of colonscopy and other investigations are discussed. Clinical scores (Truelove index for UC and a Pediatric Crohn’s Disease Index for CD) are recommended to assess the severity of disease.
Parole chiave
colite ulcerosa Inflammatory chronic disease malattia cronica infiammatoria Ulcerative colitis
Suggerite dall'AI
Crohn's disease Gastroenterologia pediatrica Inflammatory bowel disease Malattia di Crohn Rettocolite ulcerosa
Classificazione MeSH
Digestive System Diseases Gastrointestinal Diseases Intestinal Diseases Colonic Diseases Colitis Colitis, Ulcerative (56)
Diagnosis Diagnostic Techniques and Procedures Diagnostic Techniques, Surgical Endoscopy Endoscopy, Digestive System Endoscopy, Gastrointestinal
Digestive System Diseases Gastrointestinal Diseases Gastroenteritis Inflammatory Bowel Diseases Crohn Disease (79)
Digestive System Diseases Gastrointestinal Diseases Gastroenteritis Inflammatory Bowel Diseases (133)
Health Care Quality, Access, and Evaluation Quality of Health Care Health Care Evaluation Mechanisms Data Collection Surveys and Questionnaires Health Surveys
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Bibliografia
1. Protocollo per la diagnosi delle malattie croniche intestinali. Bollettino SIGEP, Vol VII,1999;3.
2. Truelove SC, Witts LJ. Cortisone in ulcerative colitis. Brit Med J 1955;ii:1041.
3. Hyams J, et al. Development and validation of a pediatric Crohn’s disease activity index. J Pediatr Gastroenterol Nutr 1991;12,4: 439-47.