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Diagnostic Criteria in IBD (with Comments)

  • Adam FabisiakEmail author
Chapter
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Abstract

The reader should already notice the fact that symptoms accompanying IBD are not specific and could be attributed to almost any disease of the lower gastrointestinal tract. Of course, an advanced gastroenterologist or any physician experienced in recognizing IBD would come up with the diagnosis only by the symptoms. Thus, the first major diagnostic tool is a clinical examination, which consists of a thorough medical history and a physical examination. However, to achieve the diagnosis, the process of recognizing the disease should be filled with proper additional studies. In this chapter, tools for setting an appropriate diagnosis, main diagnostic criteria of IBD and diseases from which to distinguish the IBD are discussed. We mostly relied on guidelines by the European Crohn’s and Colitis Organisation (ECCO), which gathers the greatest specialists in the field of IBD from around the Europe.

Keywords

Diagnosis Endoscopy Radiology Classification 

Abbreviation List

IBD

Inflammatory bowel disease

ECCO

European Crohn’s and Colitis Organisation

CRP

C-reactive protein

ESR

Erythrocyte sedimentation rate

IBS

Irritable bowel syndrome

ANCA

Anti-neutrophil cytoplasmic antibodies

ASCA

Anti-Saccharomyces cerevisiae antibodies

Anti-OmpC

Antibodies to Escherichia coli outer membrane porin C

Anti-CBir1

Antibodies to bacterial flagellin

MRI

Magnetic resonance imaging

US

Ultrasonography

CT

Computed tomography

SBCE

Small bowel capsule endoscopy

DBE

Double-balloon enteroscopy

CDAI

Crohn’s Disease Activity Index

Notes

Acknowledgments

Authors would like to acknowledge the senior doctor Anna Mokrowiecka Ph.D. MD and the Department of Gastroenterology at the Barlicki Hospital, Medical University of Lodz for providing the endoscopic images of patients with IBD.

Copyright information

© Springer International Publishing AG 2017

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 2.5 International License (http://creativecommons.org/licenses/by-nc/2.5/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

The images or other third party material in this chapter are included in the chapter's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the chapter's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

Authors and Affiliations

  1. 1.Department of Biochemistry, Faculty of MedicineMedical University of LodzLodzPoland

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