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Раннее выявление, дифференциальная диагностика и возможности предупреждения развития осложнений хронических воспалительных заболеваний кишечника
Дуброва С.Э. Раннее выявление, дифференциальная диагностика и возможности предупреждения развития осложнений хронических воспалительных заболеваний кишечника. Consilium Medicum. 2019; 21 (8): 84–87. DOI: 10.26442/20751753.2019.8.190592
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Dubrova S.E. Early detection, differential diagnosis and prevention of complications of chronic inflammatory bowel disease. Consilium Medicum. 2019; 21 (8): 84–87. DOI: 10.26442/20751753.2019.8.190592
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Аннотация
В статье рассматриваются возможности раннего выявления и предупреждения развития осложнений хронических воспалительных и опухолевых заболеваний кишечника. На данный момент отмечается тенденция к активизации научных исследований и практического использования комплексной диагностики и терапии больных воспалительными заболеваниями кишечника как в нашей стране, так и за рубежом. Улучшение показателей локального контроля и предупреждение опухолевых процессов при воспалительных заболеваниях кишечника возможны только при условии соблюдения критериев преемственности всех звеньев медицины и включения в протоколы эффективных методов ранней диагностики, в том числе компьютерной томографии и магнитно-резонансной томографии, позволяющих проводить дифференциальный диагноз и прогнозировать развитие осложнений.
Ключевые слова: язвенный колит, болезнь Крона, осложнения, методы диагностики, компьютерная томография, магнитно-резонансная томография, дифференциальная диагностика.
Ключевые слова: язвенный колит, болезнь Крона, осложнения, методы диагностики, компьютерная томография, магнитно-резонансная томография, дифференциальная диагностика.
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The article discusses the possibility of early detection of prevention of the development of complications of chronic inflammatory diseases and tumor processes of the intestine. At the moment, there is a tendency to intensify scientific research and practical use of complex diagnostics and therapy of patients with inflammatory bowel diseases both in our country and abroad. Improvement of local control indicators and prevention of tumor processes in inflammatory bowel diseases is possible only if the criteria of succession of all parts of medicine are met and effective protocols of early diagnostics are included in the protocols, such as computer tomography and magnetic resonance imaging, which allow differential diagnosis and predict the development of complications.
Key words: ulcerative colitis, Crohn's disease, complications, differential diagnosis, computer tomography, magnetic resonance imaging.
Key words: ulcerative colitis, Crohn's disease, complications, differential diagnosis, computer tomography, magnetic resonance imaging.
Полный текст
Список литературы
1. Dignass A et al. Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 1: definitions and diagnosis. J Crohn's Colitis 2012; 6 (10): 965–90.
2. Molodecky NA et al. Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology 2012; 142 (1): 46–54. e42.
3. Panes J et al. Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohn's Colitis 2013; 7 (7): 556–85.
4. De Franco A et al. Ileal Crohn disease: mural microvascularity quantified with contrast-enhanced US correlates with disease activity. Radiology 2012; 262 (2): 680–8. DOI: 10.1148/radiol.11110440
5. Swenson BR et al. Modified two-stage ileal pouch-anal anastomosis: equivalent outcomes with less resource utilization. Dis Colon Rectum 2005; 48 (2): 256–61.
6. Dibley L et al. Patient decision-making about emergency and planned stoma surgery for IBD: a qualitative exploration of patient and clinician perspectives. Inflam Bowel Dis 2018; 24 (2): 235–46.
7. Ashburn JH. Preoperative Evaluation and Techniques of Colectomy and Ileal Pouch Surgery. In: Pouchitis and Ileal Pouch Disorders. Academic Press, 2019; p. 29–40.
8. Shen B et al. In vivo colonoscopic optical coherence tomography for transmural inflammation in inflammatory bowel disease. Clin Gastroenterol Hepatol 2004; 2 (12): 1080–7.
9. Murphy PB et al. Quality of life after total proctocolectomy with ileostomy or IPAA: a systematic review. Dis Colon Rectum 2015; 58 (9): 899–908.
10. Strong SA. Expert Commentary on Prevention, Diagnosis, and Treatment of Complications of the IPAA for Ulcerative Colitis. Dis Colon Rectum 2018; 61 (5): 536–7.
11. Myrelid P, Kalman D. The Ileorectal Anastomosis in Ulcerative Colitis. Ileoanal Pouch Springer, Cham, 2019; p. 173–85.
12. Camilleri-Brennan J, Munro A, Steele RJC. Does an ileoanal pouch offer a better quality of life than a permanent ileostomy for patients with ulcerative colitis? J Gastrointestinal Surg 2003; 7 (6): 814–9.
13. Ткачев А.В., Мкртчян Л.С., Никитина К.Е., Волынская Е.И. Воспалительные заболевания кишечника: на перекрестке проблем. Практическая медицина. 2012; 3 (58): 17–22.
[Tkachev A.V., Mkrtchian L.S., Nikitina K.E., Volynskaia E.I. Vospalitel'nye zabolevaniia kishechnika: na perekrestke problem. Prakticheskaia meditsina. 2012; 3 (58): 17–22 (in Russian).]
14. Шапошников А.В. Колоректальный рак: канцерогенез и онкопревенция. Пособие для врачей. М.: Форте принт, 2015.
[Shaposhnikov A.V. Kolorektal'nyi rak: kantserogenez i onkopreventsiia. Posobie dlia vrachei. Moscow: Forte print, 2015 (in Russian).]
15. Panes J, Jairath V, Levesque BG. Advances in use of endoscopy, radiology, and biomarkers to monitor inflammatory bowel diseases. Gastroenterology 2017; 152 (2): 362–73. e3.
16. Van Deen WK et al. Value-Based Health Care for Inflammatory Bowel Diseases. The Impact on Health Care Utilization. Eur J Gastroenterol Hepatol 2017; 29 (3): 331–7.
17. Kundrotas LW, Clement DJ, Kubik CM et al. A prospective evaluation of successful terminal ileum intubation during routine colonoscopy. Gastrointest Endosc 1994; 40 (5): 544–6.
18. Bharadwaj S et al. Role of endoscopy in inflammatory bowel disease. Gastroenterol Report 2018; 6 (2): 75–82.
19. Maunoury V, Mordon S, Klein O, Colombel JF. Fluorescence endoscopic imaging study of anastomotic recurrence of Crohn's disease. Gastrointest Endosc 1996; 43 (6): 603–4.
20. Haas K, Rubesova E, Bass D. Role of imaging in the evaluation of inflammatory bowel disease: How much is too much? World J Radiol 2016; 8 (2): 124.
21. Абдулхаков С.Р., Абдулхаков Р.А. Неспецифический язвенный колит: современные подходы к диагностике и лечению. Вестн. современной клин. мед. 2009; 1. https://cyberleninka.ru/article/n/nespetsificheskiy-yazvennyy-kolit-sovremennye-podhody-k-diagnostik...
[Abdulkhakov S.R., Abdulkhakov R.A. Nespetsificheskii iazvennyi kolit: sovremennye podkhody k diagnostike i lecheniiu. Vestn. sovremennoi klin. med. 2009; 1. https://cyberleninka.ru/article/n/nespetsificheskiy-yazvennyy-kolit-sovremennye-podhody-k-diagnostik... (in Russian).]
22. Yarur AJ, Strobel SG, Deshpande AR, Abreu MT. Predictors of Aggressive Inflammatory Bowel Disease. Gastroenterol Hepatol 2011; 7 (10): 652–9.
23. Bodily KD, Fletcher JG, Solem CA et al. Crohn Disease: mural attenuation and thickness at contrast-enhanced CT Enterography – correlation with endoscopic and histologic findings of inflammation. Radiology 2006; 238 (2): 505–16. DOI: 10.1148/radiol.2382041159
24. Booya F, Fletcher JG, Huprich JE et al. Active Crohn disease: CT findings and interobserver agreement for enteric phase CT enterography. Radiology 2006; 241 (3): 787–95. DOI: 10.1148/ radiol.2413051444
25. Minordi LM, Vecchioli A, Guidi L et al. Multidetector CT enteroclysis versus barium enteroclysis with methylcellulose in patients with suspected small bowel disease. Eur Radiol 2006; 16 (7): 1527–36. DOI: 10.1007/s00330-006-0185-6
26. Triester SL, Leighton JA, Leontiadis GI et al. A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with non-stricturing small bowel Crohn's disease. Am J Gastroenterol 2006; 101 (5): 954–64. DOI: 10.1111/j.1572- 0241.2006.00506.x
27. Peyrin-Biroulet L, Reinisch W, Colombel JF et al. Clinical disease activity, C-reactive protein normalisation and mucosal healing in Crohn's disease in the SONIC trial. Gut 2014; 63 (1): 88–95. DOI: 10.1136/gutjnl-2013-304984
28. Kilcoyne A, Kaplan JL, Gee MS. Inflammatory bowel disease imaging current practice and future directions. World J Gastroenterol 2016; 22 (3): 917.
29. Annese V et al. European evidence based consensus for endoscopy in inflammatory bowel disease. J Crohn's Colitis 2013; 7 (12): 982–1018.
2. Molodecky NA et al. Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology 2012; 142 (1): 46–54. e42.
3. Panes J et al. Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohn's Colitis 2013; 7 (7): 556–85.
4. De Franco A et al. Ileal Crohn disease: mural microvascularity quantified with contrast-enhanced US correlates with disease activity. Radiology 2012; 262 (2): 680–8. DOI: 10.1148/radiol.11110440
5. Swenson BR et al. Modified two-stage ileal pouch-anal anastomosis: equivalent outcomes with less resource utilization. Dis Colon Rectum 2005; 48 (2): 256–61.
6. Dibley L et al. Patient decision-making about emergency and planned stoma surgery for IBD: a qualitative exploration of patient and clinician perspectives. Inflam Bowel Dis 2018; 24 (2): 235–46.
7. Ashburn JH. Preoperative Evaluation and Techniques of Colectomy and Ileal Pouch Surgery. In: Pouchitis and Ileal Pouch Disorders. Academic Press, 2019; p. 29–40.
8. Shen B et al. In vivo colonoscopic optical coherence tomography for transmural inflammation in inflammatory bowel disease. Clin Gastroenterol Hepatol 2004; 2 (12): 1080–7.
9. Murphy PB et al. Quality of life after total proctocolectomy with ileostomy or IPAA: a systematic review. Dis Colon Rectum 2015; 58 (9): 899–908.
10. Strong SA. Expert Commentary on Prevention, Diagnosis, and Treatment of Complications of the IPAA for Ulcerative Colitis. Dis Colon Rectum 2018; 61 (5): 536–7.
11. Myrelid P, Kalman D. The Ileorectal Anastomosis in Ulcerative Colitis. Ileoanal Pouch Springer, Cham, 2019; p. 173–85.
12. Camilleri-Brennan J, Munro A, Steele RJC. Does an ileoanal pouch offer a better quality of life than a permanent ileostomy for patients with ulcerative colitis? J Gastrointestinal Surg 2003; 7 (6): 814–9.
13. Ткачев А.В., Мкртчян Л.С., Никитина К.Е., Волынская Е.И. Воспалительные заболевания кишечника: на перекрестке проблем. Практическая медицина. 2012; 3 (58): 17–22.
[Tkachev A.V., Mkrtchian L.S., Nikitina K.E., Volynskaia E.I. Vospalitel'nye zabolevaniia kishechnika: na perekrestke problem. Prakticheskaia meditsina. 2012; 3 (58): 17–22 (in Russian).]
14. Шапошников А.В. Колоректальный рак: канцерогенез и онкопревенция. Пособие для врачей. М.: Форте принт, 2015.
[Shaposhnikov A.V. Kolorektal'nyi rak: kantserogenez i onkopreventsiia. Posobie dlia vrachei. Moscow: Forte print, 2015 (in Russian).]
15. Panes J, Jairath V, Levesque BG. Advances in use of endoscopy, radiology, and biomarkers to monitor inflammatory bowel diseases. Gastroenterology 2017; 152 (2): 362–73. e3.
16. Van Deen WK et al. Value-Based Health Care for Inflammatory Bowel Diseases. The Impact on Health Care Utilization. Eur J Gastroenterol Hepatol 2017; 29 (3): 331–7.
17. Kundrotas LW, Clement DJ, Kubik CM et al. A prospective evaluation of successful terminal ileum intubation during routine colonoscopy. Gastrointest Endosc 1994; 40 (5): 544–6.
18. Bharadwaj S et al. Role of endoscopy in inflammatory bowel disease. Gastroenterol Report 2018; 6 (2): 75–82.
19. Maunoury V, Mordon S, Klein O, Colombel JF. Fluorescence endoscopic imaging study of anastomotic recurrence of Crohn's disease. Gastrointest Endosc 1996; 43 (6): 603–4.
20. Haas K, Rubesova E, Bass D. Role of imaging in the evaluation of inflammatory bowel disease: How much is too much? World J Radiol 2016; 8 (2): 124.
21. Абдулхаков С.Р., Абдулхаков Р.А. Неспецифический язвенный колит: современные подходы к диагностике и лечению. Вестн. современной клин. мед. 2009; 1. https://cyberleninka.ru/article/n/nespetsificheskiy-yazvennyy-kolit-sovremennye-podhody-k-diagnostik...
[Abdulkhakov S.R., Abdulkhakov R.A. Nespetsificheskii iazvennyi kolit: sovremennye podkhody k diagnostike i lecheniiu. Vestn. sovremennoi klin. med. 2009; 1. https://cyberleninka.ru/article/n/nespetsificheskiy-yazvennyy-kolit-sovremennye-podhody-k-diagnostik... (in Russian).]
22. Yarur AJ, Strobel SG, Deshpande AR, Abreu MT. Predictors of Aggressive Inflammatory Bowel Disease. Gastroenterol Hepatol 2011; 7 (10): 652–9.
23. Bodily KD, Fletcher JG, Solem CA et al. Crohn Disease: mural attenuation and thickness at contrast-enhanced CT Enterography – correlation with endoscopic and histologic findings of inflammation. Radiology 2006; 238 (2): 505–16. DOI: 10.1148/radiol.2382041159
24. Booya F, Fletcher JG, Huprich JE et al. Active Crohn disease: CT findings and interobserver agreement for enteric phase CT enterography. Radiology 2006; 241 (3): 787–95. DOI: 10.1148/ radiol.2413051444
25. Minordi LM, Vecchioli A, Guidi L et al. Multidetector CT enteroclysis versus barium enteroclysis with methylcellulose in patients with suspected small bowel disease. Eur Radiol 2006; 16 (7): 1527–36. DOI: 10.1007/s00330-006-0185-6
26. Triester SL, Leighton JA, Leontiadis GI et al. A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with non-stricturing small bowel Crohn's disease. Am J Gastroenterol 2006; 101 (5): 954–64. DOI: 10.1111/j.1572- 0241.2006.00506.x
27. Peyrin-Biroulet L, Reinisch W, Colombel JF et al. Clinical disease activity, C-reactive protein normalisation and mucosal healing in Crohn's disease in the SONIC trial. Gut 2014; 63 (1): 88–95. DOI: 10.1136/gutjnl-2013-304984
28. Kilcoyne A, Kaplan JL, Gee MS. Inflammatory bowel disease imaging current practice and future directions. World J Gastroenterol 2016; 22 (3): 917.
29. Annese V et al. European evidence based consensus for endoscopy in inflammatory bowel disease. J Crohn's Colitis 2013; 7 (12): 982–1018.
________________________________________________
1. Dignass A et al. Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 1: definitions and diagnosis. J Crohn's Colitis 2012; 6 (10): 965–90.
2. Molodecky NA et al. Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology 2012; 142 (1): 46–54. e42.
3. Panes J et al. Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohn's Colitis 2013; 7 (7): 556–85.
4. De Franco A et al. Ileal Crohn disease: mural microvascularity quantified with contrast-enhanced US correlates with disease activity. Radiology 2012; 262 (2): 680–8. DOI: 10.1148/radiol.11110440
5. Swenson BR et al. Modified two-stage ileal pouch-anal anastomosis: equivalent outcomes with less resource utilization. Dis Colon Rectum 2005; 48 (2): 256–61.
6. Dibley L et al. Patient decision-making about emergency and planned stoma surgery for IBD: a qualitative exploration of patient and clinician perspectives. Inflam Bowel Dis 2018; 24 (2): 235–46.
7. Ashburn JH. Preoperative Evaluation and Techniques of Colectomy and Ileal Pouch Surgery. In: Pouchitis and Ileal Pouch Disorders. Academic Press, 2019; p. 29–40.
8. Shen B et al. In vivo colonoscopic optical coherence tomography for transmural inflammation in inflammatory bowel disease. Clin Gastroenterol Hepatol 2004; 2 (12): 1080–7.
9. Murphy PB et al. Quality of life after total proctocolectomy with ileostomy or IPAA: a systematic review. Dis Colon Rectum 2015; 58 (9): 899–908.
10. Strong SA. Expert Commentary on Prevention, Diagnosis, and Treatment of Complications of the IPAA for Ulcerative Colitis. Dis Colon Rectum 2018; 61 (5): 536–7.
11. Myrelid P, Kalman D. The Ileorectal Anastomosis in Ulcerative Colitis. Ileoanal Pouch Springer, Cham, 2019; p. 173–85.
12. Camilleri-Brennan J, Munro A, Steele RJC. Does an ileoanal pouch offer a better quality of life than a permanent ileostomy for patients with ulcerative colitis? J Gastrointestinal Surg 2003; 7 (6): 814–9.
13. Tkachev A.V., Mkrtchian L.S., Nikitina K.E., Volynskaia E.I. Vospalitel'nye zabolevaniia kishechnika: na perekrestke problem. Prakticheskaia meditsina. 2012; 3 (58): 17–22 (in Russian).
14. Shaposhnikov A.V. Kolorektal'nyi rak: kantserogenez i onkopreventsiia. Posobie dlia vrachei. Moscow: Forte print, 2015 (in Russian).
15. Panes J, Jairath V, Levesque BG. Advances in use of endoscopy, radiology, and biomarkers to monitor inflammatory bowel diseases. Gastroenterology 2017; 152 (2): 362–73. e3.
16. Van Deen WK et al. Value-Based Health Care for Inflammatory Bowel Diseases. The Impact on Health Care Utilization. Eur J Gastroenterol Hepatol 2017; 29 (3): 331–7.
17. Kundrotas LW, Clement DJ, Kubik CM et al. A prospective evaluation of successful terminal ileum intubation during routine colonoscopy. Gastrointest Endosc 1994; 40 (5): 544–6.
18. Bharadwaj S et al. Role of endoscopy in inflammatory bowel disease. Gastroenterol Report 2018; 6 (2): 75–82.
19. Maunoury V, Mordon S, Klein O, Colombel JF. Fluorescence endoscopic imaging study of anastomotic recurrence of Crohn's disease. Gastrointest Endosc 1996; 43 (6): 603–4.
20. Haas K, Rubesova E, Bass D. Role of imaging in the evaluation of inflammatory bowel disease: How much is too much? World J Radiol 2016; 8 (2): 124.
21. Abdulkhakov S.R., Abdulkhakov R.A. Nespetsificheskii iazvennyi kolit: sovremennye podkhody k diagnostike i lecheniiu. Vestn. sovremennoi klin. med. 2009; 1. https://cyberleninka.ru/article/n/nespetsificheskiy-yazvennyy-kolit-sovremennye-podhody-k-diagnostik... (in Russian).
22. Yarur AJ, Strobel SG, Deshpande AR, Abreu MT. Predictors of Aggressive Inflammatory Bowel Disease. Gastroenterol Hepatol 2011; 7 (10): 652–9.
23. Bodily KD, Fletcher JG, Solem CA et al. Crohn Disease: mural attenuation and thickness at contrast-enhanced CT Enterography – correlation with endoscopic and histologic findings of inflammation. Radiology 2006; 238 (2): 505–16. DOI: 10.1148/radiol.2382041159
24. Booya F, Fletcher JG, Huprich JE et al. Active Crohn disease: CT findings and interobserver agreement for enteric phase CT enterography. Radiology 2006; 241 (3): 787–95. DOI: 10.1148/ radiol.2413051444
25. Minordi LM, Vecchioli A, Guidi L et al. Multidetector CT enteroclysis versus barium enteroclysis with methylcellulose in patients with suspected small bowel disease. Eur Radiol 2006; 16 (7): 1527–36. DOI: 10.1007/s00330-006-0185-6
26. Triester SL, Leighton JA, Leontiadis GI et al. A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with non-stricturing small bowel Crohn's disease. Am J Gastroenterol 2006; 101 (5): 954–64. DOI: 10.1111/j.1572- 0241.2006.00506.x
27. Peyrin-Biroulet L, Reinisch W, Colombel JF et al. Clinical disease activity, C-reactive protein normalisation and mucosal healing in Crohn's disease in the SONIC trial. Gut 2014; 63 (1): 88–95. DOI: 10.1136/gutjnl-2013-304984
28. Kilcoyne A, Kaplan JL, Gee MS. Inflammatory bowel disease imaging current practice and future directions. World J Gastroenterol 2016; 22 (3): 917.
29. Annese V et al. European evidence based consensus for endoscopy in inflammatory bowel disease. J Crohn's Colitis 2013; 7 (12): 982–1018.
Авторы
С.Э. Дуброва
ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского», Москва, Россия
dubrova.sofya@gmail.com
ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского», Москва, Россия
dubrova.sofya@gmail.com
________________________________________________
Sofya E. Dubrova
Moscow Regional Research Clinical Institute Vladimirsky, Moscow, Russia
dubrova.sofya@gmail.com
Moscow Regional Research Clinical Institute Vladimirsky, Moscow, Russia
dubrova.sofya@gmail.com
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