Evidence-based clinical practice guidelines for inflammatory bowel disease.

Evidence-based clinical practice guidelines for inflammatory bowel disease.
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DOI:
10.1007/s00535-018-1439-1
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发表时间:
2018-03
影响因子:
6.3
通讯作者:
Shimosegawa T
Shimosegawa T
中科院分区:
医学1区
文献类型:
--
作者:
Matsuoka K;Kobayashi T;Ueno F;Matsui T;Hirai F;Inoue N;Kato J;Kobayashi K;Kobayashi K;Koganei K;Kunisaki R;Motoya S;Nagahori M;Nakase H;Omata F;Saruta M;Watanabe T;Tanaka T;Kanai T;Noguchi Y;Takahashi KI;Watanabe K;Hibi T;Suzuki Y;Watanabe M;Sugano K;Shimosegawa T

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炎症性肠病(IBD)是一种慢性疾病,主要累及肠道,但也可能累及其他胃肠道和肠道外器官。虽然病因尚不清楚,但发病机制方面的最新知识已经积累,新的诊断和治疗方法已可用于临床。因此,敦促更新以前的指导方针。2016年,日本胃肠病学会修订了之前版本的日语溃疡性结肠炎(UC)和克罗恩病(CD)循证临床实践指南。共选择9类59个临床问题(1.IBD的临床特征;2.诊断;3.治疗的一般考虑;4.IBD的治疗干预;5.UC的治疗;6.CD的治疗;7.肠外并发症;8.癌症监测;9.特殊情况下的IBD),并利用MEDLINE、Cochrane和Igaku Chuo Zasshi数据库对临床问题进行文献检索。这些准则是根据建议分级评估、发展和评价(等级)制度的基本概念制定的。建议是使用德尔福轮次提出的。这一英文版本是根据现有的日语最新指南制作和编辑的。
Inflammatory bowel disease (IBD) is a chronic disorder involving mainly the intestinal tract, but possibly other gastrointestinal and extraintestinal organs. Although etiology is still uncertain, recent knowledge in pathogenesis has accumulated, and novel diagnostic and therapeutic modalities have become available for clinical use. Therefore, the previous guidelines were urged to be updated. In 2016, the Japanese Society of Gastroenterology revised the previous versions of evidence-based clinical practice guidelines for ulcerative colitis (UC) and Crohn’s disease (CD) in Japanese. A total of 59 clinical questions for 9 categories (1. clinical features of IBD; 2. diagnosis; 3. general consideration in treatment; 4. therapeutic interventions for IBD; 5. treatment of UC; 6. treatment of CD; 7. extraintestinal complications; 8. cancer surveillance; 9. IBD in special situation) were selected, and a literature search was performed for the clinical questions with use of the MEDLINE, Cochrane, and Igaku Chuo Zasshi databases. The guidelines were developed with the basic concept of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Recommendations were made using Delphi rounds. This English version was produced and edited based on the existing updated guidelines in Japanese.
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