Endoscopic features and differential diagnosis of inflammatory bowel disease ileocecal ulcerative
10.3969/j.issn.1007-1989.2016.06.004
- VernacularTitle:炎症性肠病回盲部溃疡内镜下特征性表现与鉴别诊断
- Author:
Wei WANG
- Keywords:
ileocecum;
inflammatory bowel disease;
ulcer;
endoscopy;
differential diagnosis
- From:
China Journal of Endoscopy
2016;22(6):13-15
- CountryChina
- Language:Chinese
-
Abstract:
Objectives To observe the characteristics of the mucosa of the patients with ulcerative lesions in the blind area, and to provide a strong evidence for the clinical diagnosis. Methods 43 patients diagnosed inflammatory bowel disease ulcer by colonoscopy from January 2008 to December 2014, we observed the ulcer characteristics and mucosa characteristic changes. Results The lesions' characteristics under endoscopy were mainly divided into three types:the map of the ulcer and the depth of the ulcer, and the shape of the groove and the back of the flap. The re-sults showed that the characteristics of the three types of endoscopic changes, in the individual and the two groups of patients with UC, patients and CD patients with difference ( <0.01), can be used as a preliminary differential diag-nosis. Conclusions CD and UC are lack of diagnostic criteria. The diagnosis should be combined with clinical, en-doscopic and histopathological features of the comprehensive analysis and follow-up observation, but there are cer-tain characteristics and rules to follow. So, in the case of insufficient evidence of tissue pathology, it is very impor-tant to observe the characteristics of the lesions, which may provide a useful basis for clinical diagnosis. Reduce the blindness in the diagnosis of the disease, improve the diagnosis rate of the disease in the back of the blind.
