孤立性末端回肠炎的诊治进展

Research progress of diagnosis and treatment of isolated terminal ileitis

全球炎症性肠病发病率逐年增加,炎症性肠病的早期诊断尤为重要。回结肠镜检查已成常态,末端回肠炎(TI)的检出率随之增加,虽然最常见的病因是克罗恩病(CD),但是并非所有的TI都是CD。针对孤立性末端回肠炎(ITI)处理策略,需要引起临床医师的重视,ITI是否是早期CD,是否需要治疗,以及随访管理策略都值得认真探讨。本文就近年来ITI的鉴别诊断、检查手段、治疗方法综述如下,以提高对ITI的规范化诊治。

The incidence of inflammatory bowel disease is increasing globally year by year,and the early diagnosis of inflammatory bowel disease is particularly important.Colonoscopy has become the norm,and the detection rate of terminal ileitis(TI)has increased.Although Crohn′s disease(CD)is the most common cause,not all cases of TI is CD.Clinicians should pay attention to the management strategy of isolated terminal ileitis(ITI).Whether ITI is an early CD,whether it needs treatment,and the follow-up management strategy is worthy of serious discussion.In this paper,the differential diagnosis,examination methods and treatment methods of ITI in recent years are summarized as follows,in order to improve the standardized diagnosis and treatment of ITI.