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Military Aviators with Inflammatory Bowel Diseases Continued Flying

机译：军事飞行员与炎性肠道疾病继续飞行

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INTRODUCTION: Military aviators are likely to be first diagnosed with inflammatory bowel diseases (IBD) during military service. Current recommendations support continuing flying with restrictions, but risks may be significant. The aim of the study was to document the long-term results of aviators newly diagnosed with IBD. METHODS: A prospective observational study over a 23-yr period included all Israeli Air Force (IAF) aviators with IBD. Primary end point was the qualification and safety to continue operational flying following IBD diagnosis. RESULTS: Subjects were 16 male aviators with an average follow-up of 130 mo. Average age was 27 (20-45) and average time from symptoms onset to final diagnosis was 7.3 mo. Eight (50%) patients had Crohn's disease (CD), and the other eight had ulcerative colitis (UC). Eight (50%) were high performance platform aviators. Two patients received biologic treatment, two were treated with repeated corticosteroid courses, and four with immunosuppressive therapy. Two patients underwent surgery and four needed different lengths of hospitalizations. Eight (50%) aviators (3 CD, 5 UC) were grounded for a mean of 177 d (5-590). Altogether grounding for IBD aviators was 46/2087 mo (2.2%). Most grounding periods were short term and reversible. All aviators continued flying under annual monitoring or as needed and no compromise of their abilities was documented. CONCLUSIONS: All aviators were able to continue flying and no events of sudden incapacitation or severe disabling flares have been seen among patients. Our study findings support the current recommendation to continue flying when IBD is in stable remission.
机译：作品简介:军事飞行员可能第一次诊断出患有炎症性肠病(IBD)在军事服务。建议支持继续飞行限制,但风险会很大。这项研究的目的是记录的长期结果飞行员新诊断出患有炎症性肠病。方法:通过前瞻性观察研究23-yr时期包括所有以色列空军(IAF)飞行员与炎症性肠病。资格和安全继续操作飞行后炎症性肠病的诊断。与平均随访16男飞行员吗130年密苏里州平均年龄27岁(20-45)和平均水平从症状出现时间最后的诊断7.3月。8例(50%)患者有克罗恩氏病(CD)和其他八个溃疡性结肠炎(加州大学)。飞行员。治疗,两人处理重复皮质类固醇课程,和四个免疫抑制治疗。手术和四个需要不同长度的住院治疗。加州大学)停飞的意思是177 d(5 - 590)。完全接地对IBD飞行员是46/2087密苏里州(2.2%)。和可逆的。下年度监测或根据需要也没有妥协的能力被记录。结论:所有飞行员都能够继续飞,也没有突然无能力或事件严重的已经出现在禁用耀斑病人。建议继续飞行在炎症性肠病稳定的缓解。

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