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Utredning och diagnostik av PIBD

Utredning och diagnostik av PIBD. Petter Malmborg ALB. Portokriterierna II. Portokriterierna I.

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Utredning och diagnostik av PIBD

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  1. Utredning och diagnostik av PIBD Petter Malmborg ALB

  2. Portokriterierna II

  3. Portokriterierna I Inflammatoryboweldisease in children and adolescents: recommendations for diagnosis-the Porto criteria. IBD Working Group of the EuropeanSociety for PaediatricGastroenterology, Hepatology and Nutrition. J PediatrGastroenterolNutr. 2005 Jul;41(1):1-7.

  4. Portokriterierna I Diagnosis of IBD is based on Clinical signs and symptomsEndoscopy and histology and radiologyEvery child suspected of IBD should undergoColonoscopy with ileal intubation Upper gastrointestinal endoscopy Radiologic contrast imaging of the small bowel (except in definite ulcerative colitis).

  5. ECCO statements 2009 & 2012 Gold standards for the diagnosis of CD or UC is not yet available.

  6. Lennard-Jones-kriterierna För att ställa diagnosen IBD skall annan orsak till den påvisade tarminflammationen ha uteslutits:InfektionMalignitetIschemi Lennard-Jones JE. Classification of inflammatoryboweldisease. Scand J Gastroenterol Suppl. 1989;170:2-6

  7. Köpenhamnskriterierna Diagnostic criteria for UC (all 3 criteria must be present)1. History of diarrhoea and/or rectal bleeding and pus for more than 1 week or repeated episodes.2. Characteristic endoscopic findings of continuous ulceration, vulnerability, or granulated mucosa.3. Histopathology consistent with UC Infection and cancer must have been ruled out. Ulcerative colitis. An epidemiological study based on a regional inception cohort, with special reference to disease course and prognosis. Langholz E. Dan Med Bull 1999;46(5):400‐15.

  8. Köpenhamnskriterierna Diagnostic criteria for CD (2 of 4 criteria must be present)1. History of abdominal pain, weight loss, and/or diarrhoea for more than 3 months.2. Characteristic endoscopic or radiologic findings of ulceration, cobblestoning or stricture.3. Histopathology consistent with CD.4. Fistulas and/or abscesses in addition to an affected bowel segment.Infection and cancer must have been ruled out. Crohn's disease‐occurrence, course and prognosis. Munkholm P. Dan Med Bull 1997;44(3):287‐302.

  9. Portokriterierna II

  10. 12 10 8 UC 6 CD 4 2 0 South - Eastern Norway Northern Stockholm Eastern Denmark Southern Finland 2002-07 2007-09 2007-09 2003 Antal barn-ungdomar som insjuknar i IBD per 100 000 innevånare och år

  11. Differentiating ulcerative colitis from Crohn disease in children and young adultsNorth American Society for Pediatric Gastroenterology, Hepatology, and Nutrition; Colitis Foundation of America, Bousvaros A, Antonioli DA, Colletti RB, et alJ Pediatr Gastroenterol Nutr. 2007 May;44(5):653-74.

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