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Pediatric inflammatory bowel disease.

机译：小儿炎症性肠病。

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摘要

Inflammatory bowel disease is an important cause of gastrointestinal pathology in children and adolescents. The incidence of pediatric inflammatory bowel disease is increasing; therefore, it is important for the clinician to be aware of the presentation of this disease in the pediatric population. Laboratory tests, radiology studies, and endoscopic procedures are helpful in diagnosing inflammatory bowel disease and differentiating between Crohn's disease and ulcerative colitis. Once diagnosed, the goal of medical management is to induce remission of disease while minimizing the side effects of the medication. Specific attention needs to be paid to achieving normal growth in this susceptible population. Surgical management is usually indicated for failure of medical management, complication, or malignancy. Algorithms for diagnostic evaluation and treatment of pediatric inflammatory bowel disease are presented. The specific psychosocial issues facing these patients are also discussed in this review as are the future goals of research in the complex problem of pediatric inflammatory bowel disease.
机译：炎性肠病是儿童和青少年胃肠道病理的重要原因。小儿炎症性肠病的发病率正在增加；因此，对于临床医生而言，了解这种疾病在儿科人群中的表现很重要。实验室检查，放射学检查和内窥镜检查有助于诊断炎症性肠病，并区分克罗恩病和溃疡性结肠炎。一旦被诊断，医疗管理的目标是在使药物副作用减至最小的同时，诱发疾病的缓解。需要特别注意在这个易感人群中实现正常增长。通常会指出由于医疗管理，并发症或恶性肿瘤而导致的外科治疗。提出了诊断性评估和治疗小儿炎症性肠病的算法。在这篇综述中还讨论了这些患者面临的具体社会心理问题，以及对小儿炎症性肠病这一复杂问题的研究的未来目标。

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