First United Arab Emirates consensus on diagnosis and management of inflammatory bowel diseases: A 2020 Delphi consensus

被引:13
作者
Alkhatry, Maryam [1 ]
Al-Rifai, Ahmad [2 ]
Annese, Vito [3 ]
Georgopoulos, Filippos [4 ]
Jazzar, Ahmad N. [5 ]
Khassouan, Ahmed M. [6 ]
Koutoubi, Zaher [7 ]
Nathwani, Rahul [8 ]
Taha, Mazen S. [9 ]
Limdi, Jimmy K. [10 ]
机构
[1] Ibrahim Bin Hamad Obaid Allah Hosp, Gastroenterol & Endoscopy Dept, Minist Hlth & Prevent, Ras Al Khaiman, U Arab Emirates
[2] Sheikh Shakbout Med City, Dept Gastroenterol, Abu Dhabi, U Arab Emirates
[3] Valiant Clin, Dept Gastroenterol, City Walk 13th St, Dubai, U Arab Emirates
[4] Al Zahra Hosp, Gastroenterol & Endoscopy Unit, Dubai, U Arab Emirates
[5] Sheikh Khalifa Med City, Gastroenterol Div, Abu Dhabi, U Arab Emirates
[6] Rashid Hosp, Digest Dis Unit, Dubai, U Arab Emirates
[7] Cleveland Clin, Digest Dis Inst, Abu Dhabi, U Arab Emirates
[8] Mediclin City Hosp, Dept Gastroenterol, Dubai, U Arab Emirates
[9] Tawam Hosp, Gastroenterol & Hepatol, Al Ain, U Arab Emirates
[10] Univ Manchester, Pennine Acute Hosp NHS Trust, Manchester Acad Hlth Sci, Dept Gastroenterol, Manchester M8 5RB, Lancs, England
关键词
Ulcerative colitis; Crohn’ s disease; Infliximab; Adalimumab; Vedolizumab; Ustekinumab; Tofacitinib; SEVERE ULCERATIVE-COLITIS; ACTIVE CROHNS-DISEASE; C-REACTIVE PROTEIN; RELEASE ORAL MESALAMINE; REAL-WORLD EXPERIENCE; LONG-TERM PROGNOSIS; MAGNETIC-RESONANCE ENTEROGRAPHY; ERYTHROCYTE SEDIMENTATION-RATE; UPPER GASTROINTESTINAL-TRACT; DEVICE-ASSISTED ENTEROSCOPY;
D O I
10.3748/wjg.v26.i43.6710
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Ulcerative colitis and Crohn's disease are the main entities of inflammatory bowel disease characterized by chronic remittent inflammation of the gastrointestinal tract. The incidence and prevalence are on the rise worldwide, and the heterogeneity between patients and within individuals over time is striking. The progressive advance in our understanding of the etiopathogenesis coupled with an unprecedented increase in therapeutic options have changed the management towards evidence-based interventions by clinicians with patients. This guideline was stimulated and supported by the Emirates Gastroenterology and Hepatology Society following a systematic review and a Delphi consensus process that provided evidence- and expert opinion-based recommendations. Comprehensive up-to-date guidance is provided regarding diagnosis, evaluation of disease severity, appropriate and timely use of different investigations, choice of appropriate therapy for induction and remission phase according to disease severity, and management of main complications.
引用
收藏
页码:6710 / 6769
页数:61
相关论文
共 484 条
[1]   Ileitis in ulcerative colitis: Is it a backwash? [J].
Abdelrazeq, AS ;
Wilson, TR ;
Leitch, DL ;
Lund, JN ;
Leveson, SH .
DISEASES OF THE COLON & RECTUM, 2005, 48 (11) :2038-2046
[2]   Mutations in NOD2 are associated with fibrostenosing disease in patients with Crohn's disease [J].
Abreu, MT ;
Taylor, KD ;
Lin, YC ;
Hang, T ;
Gaiennie, J ;
Landers, CJ ;
Vasiliauskas, EA ;
Kam, LY ;
Rojany, M ;
Papadakis, KA ;
Rotter, JI ;
Targan, SR ;
Yang, HY .
GASTROENTEROLOGY, 2002, 123 (03) :679-688
[3]  
AGREZ MV, 1982, MAYO CLIN PROC, V57, P747
[4]   Preventing disability in inflammatory bowel disease [J].
Allen, Patrick B. ;
Gower-Rousseau, Corinne ;
Danese, Silvio ;
Peyrin-Biroulet, Laurent .
THERAPEUTIC ADVANCES IN GASTROENTEROLOGY, 2017, 10 (11) :865-876
[5]   Crohn's disease patients carrying Nod2/CARD15 gene variants have an increased and early need for first surgery due to stricturing disease and higher rate of surgical recurrence [J].
Alvarez-Lobos, M ;
Arostegui, JI ;
Sans, M ;
Tassies, D ;
Plaza, S ;
Delgado, S ;
Lacy, AM ;
Pique, JM ;
Yagüe, J ;
Panés, J .
ANNALS OF SURGERY, 2005, 242 (05) :693-700
[6]   Long-Term Outcome of Enterocutaneous Fistula in Patients With Crohn's Disease Treated With Anti-TNF Therapy: A Cohort Study from the GETAID [J].
Amiot, Aurelien ;
Setakhr, Vida ;
Seksik, Philippe ;
Allez, Mathieu ;
Treton, Xavier ;
De Vos, Martine ;
Laharie, David ;
Colombel, Jean-Frederic ;
Abitbol, Vered ;
Reimund, Jean Marie ;
Moreau, Jacques ;
Veyrac, Michel ;
Flourie, Bernard ;
Cosnes, Jacques ;
Lemann, Marc ;
Bouhnik, Yoram .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2014, 109 (09) :1443-1449
[7]   Epidemiology and risk factors for IBD [J].
Ananthakrishnan, Ashwin N. .
NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY, 2015, 12 (04) :205-217
[8]   European Evidence-based Consensus: Inflammatory Bowel Disease and Malignancies [J].
Annese, Vito ;
Beaugerie, Laurent ;
Egan, Laurence ;
Biancone, Livia ;
Bolling, Claus ;
Brandts, Christian ;
Dierickx, Daan ;
Dummer, Reinhard ;
Fiorino, Gionata ;
Gornet, Jean Marc ;
Higgins, Peter ;
Katsanos, Konstantinos H. ;
Nissen, Loes ;
Pellino, Gianluca ;
Rogler, Gerhard ;
Scaldaferri, Franco ;
Szymanska, Edyta ;
Eliakim, Rami .
JOURNAL OF CROHNS & COLITIS, 2015, 9 (11) :945-965
[9]   Upper Gastrointestinal Involvement of Crohn's Disease: A Prospective Study on the Role of Upper Endoscopy in the Diagnostic Work-Up [J].
Annunziata, Maria Laura ;
Caviglia, Renato ;
Papparella, Luigi Giovanni ;
Cicala, Michele .
DIGESTIVE DISEASES AND SCIENCES, 2012, 57 (06) :1618-1623
[10]  
[Anonymous], 2017, GASTROENTEROLOGY S1