对未定型炎症性肠病的认知与处理

Recognition and management of inflammatory bowel disease unclassified

未定型炎症性肠病是指临床上暂时无法明确诊断和分型的结肠炎患者,其具备炎症性肠病相关临床特征,但不足以诊断为溃疡性结肠炎或克罗恩病。随着时间推移,大部分未定型炎症性肠病患者可确诊为溃疡性结肠炎或克罗恩病,治疗上可采用升阶梯治疗方法。本文阐述了未定型炎症性肠病的临床特点、诊断及治疗方法。

Inflammatory bowel disease unclassified(IBDU)is referred to as colitis that has clinical characteristics related to inflammatory bowel disease,but cannot be clearly determined or classified as either ulcerative colitis(UC)or Crohn’s disease(CD)clinically.Over time,most patients with IBDU can be finally diagnosed as either UC or CD.Treatment of IBDU should follow a step-up strategy.This article describes the clinical characteristics,diagnosis and treatment of IBDU.