炎症性肠病的延迟诊断:是时候考虑解决方案了。

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastroenterology Pub Date : 2024-09-21 DOI:10.3748/wjg.v30.i35.3954
Hao Lv, Hao-Yu Li, Hao-Nan Zhang, Yang Liu
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引用次数: 0

摘要

在这篇社论中,我们将讨论 Blüthner 等人最近在《世界胃肠病学杂志》上发表的一篇手稿,特别关注炎症性肠病 (IBD) 的延迟诊断。IBD 包括克罗恩病和溃疡性结肠炎,是一种慢性肠道疾病。炎症的发生与症状和体征的出现之间可能存在时间差,可能导致诊断错误或延迟,这种情况被称为 IBD 的延迟诊断。早期诊断对患者的有效治疗和预后至关重要,但延迟诊断仍很常见。IBD 诊断延迟的原因有很多,目前尚未完全清楚。其中一个关键因素是 IBD 症状的非特异性,很容易被误诊为其他疾病。此外,IBD 缺乏特异性诊断方法也是造成延误的原因之一。IBD 诊断延误会导致许多不良后果,包括肠道损伤加重、纤维化、结直肠癌风险升高以及患者生活质量下降。因此,通过提高医生认识、加强患者教育和开发新的诊断方法来及时诊断 IBD 至关重要。
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Delayed diagnosis in inflammatory bowel disease: Time to consider solutions.

In this editorial, we discuss a recently published manuscript by Blüthner et al in the World Journal of Gastroenterology, with a specific focus on the delayed diagnosis of inflammatory bowel disease (IBD). IBD, which includes Crohn's disease and ulcerative colitis, is a chronic intestinal disorder. A time lag may exist between the onset of inflammation and the appearance of signs and symptoms, potentially leading to an incorrect or delayed diagnosis, a situation referred to as the delayed diagnosis of IBD. Early diagnosis is crucial for effective patient treatment and prognosis, yet delayed diagnosis remains common. The reasons for delayed diagnosis of IBD are numerous and not yet fully understood. One key factor is the nonspecific nature of IBD symptoms, which can easily be mistaken for other conditions. Additionally, the lack of specific diagnostic methods for IBD contributes to these delays. Delayed diagnosis of IBD can result in numerous adverse consequences, including increased intestinal damage, fibrosis, a higher risk of colorectal cancer, and a decrease in the quality of life of the patient. Therefore, it is essential to diagnose IBD promptly by raising physician awareness, enhancing patient education, and developing new diagnostic methods.

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来源期刊
World Journal of Gastroenterology
World Journal of Gastroenterology 医学-胃肠肝病学
CiteScore
7.80
自引率
4.70%
发文量
464
审稿时长
2.4 months
期刊介绍: The primary aims of the WJG are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in gastroenterology and hepatology.
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