Diagnosis and treatment of inflammatory bowel disease: First Latin American Consensus of the Pan American Crohn's and Colitis Organisation

Yamamoto-Furusho, J.K.; Bosques-Padilla, Francisco; DePaula, Juliana; Galiano, M.T.; Ibáñez, Patricio; Juliao, Fabián; Kotze, Paulo Gustavo; Rocha, J.L.; Steinwurz, Flávio; Veitía, G; Zaltman, Cyrla

doi:10.1016/j.rgmxen.2016.07.003

Cited by 15 publications

(29 citation statements)

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“…IBD may occur at any age, but is more commonly observed in older children. 1 The Paris classification for IBD stratifies pediatric IBD according to age: a younger category of children diagnosed younger than 10 years of age, and an older category -between 10 and 18 years of age. 2 Approximately 1% of pediatric IBD have been diagnosed in children younger than one year of age, and approximately 15% before six years of age.…”

Section: Ulcerative Colitis In An Infant Aged 20 Months a Case Reportmentioning

confidence: 99%

Ulcerative colitis in an infant aged 20 months. A case report

2018

Arch Argent Pediatr

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Bloody diarrhea is a common problem in early childhood, typically caused by anal fissures, infectious enteritis, allergic proctocolitis, swallowed maternal blood and intussusception. More rarely, it can also be caused by volvulus, coagulopathies, necrotizing enterocolitis, polyps, Meckel diverticulitis and inflammatory bowel disease (IBD). The incidence of IBD is on the rise in children, even affecting infants. The most common subtypes are Crohn's disease (CD) and ulcerative colitis (UC). While IBD occurrence peaks in the second to third decades of life, paediatric IBD accounts for 7-20% of all cases. Within this age group, the highest rates are seen in the teenage years; however, very early onset IBD can be seen before six years of age. The classic symptoms of CD include abdominal pain, diarrhea and weight loss, while UC is typically associated with bloody diarrhea. The report describes the case of a 20-month-old boy with bloody diarrhea who was ultimately diagnosed with UC.

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Section: Ulcerative Colitis In An Infant Aged 20 Months a Case Reportmentioning

confidence: 99%

Ulcerative colitis in an infant aged 20 months. A case report

2018

Arch Argent Pediatr

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“…Con el objeto de descartar la EC, también se lleva a cabo una endoscopia de la parte superior del tubo digestivo. 1,13 En este paciente, el diagnóstico de CU se fundamentó en las lesiones inflamatorias típicas, desde el recto y avanzando de forma proximal, contigua y circunferencial. Dado que ni la imagen macroscópica ni la microscópica de las endoscopias del tubo digestivo superior e inferior mostraron signos de EC, a nuestro paciente se le diagnosticó CU.…”

Section: Discussionunclassified

“…1 La clasificación de París para la EII estratifica la EII pediátrica en función de la edad: una categoría más joven en la que se incluyen los niños a quienes se diagnosticó la enfermedad antes de los 10 años de edad, y una categoría mayor, de niños entre 10 y 18 años de edad. 2 Alrededor del 1% de la EII pediátrica se diagnosticó en niños menores de un año, y alrededor del 15%, en niños menores de 6 años de edad.…”

Section: Introductionunclassified

Colitis ulcerosa en un niño de 20 meses: a propósito de un caso

2018

Arch Argent Pediatr

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Presentación de casos clínicos RESUMENLa disentería es un problema frecuente en la primera infancia y, normalmente, es causada por fisuras anales, enteritis infecciosa, proctocolitis alérgica, ingestión de sangre materna e invaginación intestinal. En ocasiones muy poco frecuentes, también puede ser provocada por un vólvulo, por coagulopatías, enterocolitis necrosante, pólipos, diverticulitis de Meckel o enfermedades intestinales inflamatorias (EII). La incidencia de EII en los niños está aumentando y afecta, incluso, a los lactantes. Los subtipos más comunes son la enfermedad de Crohn (EC) y la colitis ulcerosa (CU). Si bien el máximo de ocurrencia de EII se produce entre la segunda y la tercera décadas de vida, la EII pediátrica representa entre el 7% y el 20% de todos los casos. Dentro de este grupo etario, las tasas más elevadas se observan en la adolescencia; sin embargo, hay casos de inicio muy temprano de la EII, incluso antes de los seis años de edad. Los síntomas característicos de la EC incluyen dolor abdominal, diarrea y pérdida de peso, mientras que la CU en general se asocia con diarrea hemorrágica. El informe describe el caso de un niño de 20 meses con disentería, al que finalmente se le diagnosticó CU. Palabras clave: Diarrea, lactante, sangre, enfermedades intestinales inflamatorias, niño.

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“…Laboratory parameters including measurement of C-reactive protein (CRP) and fecal calprotectin are important tools for the initial diagnosis of IBD. The appearance of inflammation and the localization and identification of extra-intestinal manifestations (EIMs) are important in the diagnostic evaluation, and intestinal infections with similar symptoms must be excluded (37)(38)(39)(40).…”

Section: Diagnosticsmentioning

confidence: 99%

Self-care: the way to find balance in life : Development and evaluation of a self-care questionnaire for patients with inflammatory bowel disease

Wickman

2019

Linköping University Medical Dissertations

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Introduction: Inflammatory bowel disease (IBD), ulcerative colitis (UC), and Crohn's disease (CD) occur worldwide and are lifelong chronic conditions. The symptoms, which include abdominal pain and frequent diarrhea, cause limitations in life. Thus, patients with IBD need self-care in accordance with their symptoms, their own commitment to maintaining health, and decisions on symptom management. To strengthen self-care, there is a need for a tool that assesses self-care in patients with IBD, which aims to support the patient dialogue about self-care. The overall aim of this thesis was to develop and evaluate a questionnaire for the clinical assessment of self-care, and to explore self-care in relation to disease activity and to health-related quality of life (HRQOL) in patients with IBD. Design and method: The thesis includes four studies, where studies I, II and IV were conducted in Sweden, and study III was conducted in the United States (U.S.). In study I, a descriptive design, interviews were conducted with twenty adult patients, in order to explore self-care in patients with IBD. In study II, the self-care questionnaire was developed and tested with 193 patients with IBD in Sweden. In study III, a cross-sectional descriptive design, the self-care questionnaire was translated into English, and the responses of 67 patients in the U.S. were evaluated. Finally, in study IV, a cross-sectional exploratory design was used to explore self-care in relation to patient characteristics, disease activity, and HRQOL among 234 patients. For a total of 421 patients, the data was analyzed using content analysis, and descriptive and analytic statistics (studies I, II, III and IV). Results: Among patients with IBD, self-care relates to symptom recognition, handling symptoms, planning life, and seeking new options. Self-care varied according to how the patient managed daily life with regard to the symptoms of the disease (study I). Based on the results from study I, the self-care questionnaire was developed in Swedish, resulting in a valid and reliable questionnaire comprising 22 items (study II). The questionnaire was translated to English, and performed self-care activities were associated with a lower degree of well-being in relation to age and gender (study III). The patients were taking medication for IBD, paying attention to their Abstract intestinal symptoms, adapting their diet, managing their stress, planning their day and avoiding activities (studies III and IV). Self-care was more frequent in patients with CD when it came to paying attention to psychological symptoms; diet adaption; avoiding various activities including sex; and looking for new approaches to living with IBD. A greater degree of selfcare activities was associated with a lower degree of HRQOL (IV). Conclusion: The results indicate the importance of identifying the total symptom experience, and of the patient's need to discuss self-care, in order to strengthen self-care and achieve better treatment. The self-care questionnaire can be a useful tool to be...

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Diagnosis and treatment of inflammatory bowel disease: First Latin American Consensus of the Pan American Crohn's and Colitis Organisation

Cited by 15 publications

References 342 publications

Ulcerative colitis in an infant aged 20 months. A case report

Ulcerative colitis in an infant aged 20 months. A case report

Colitis ulcerosa en un niño de 20 meses: a propósito de un caso

Self-care: the way to find balance in life : Development and evaluation of a self-care questionnaire for patients with inflammatory bowel disease

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